Active NPI
Bethany Davis, M.S.
- School Psychologist
- North Wilkesboro, NC
National Provider Identifier
1386583920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1117580
- Practice address
- 613 Cherry St
North Wilkesboro, NC 28659-4229 - Phone
- (336) 651-7000
- NPI assigned
- Mar 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1117580 | NC | Primary |
Addresses
Primary practice location
613 Cherry St
North Wilkesboro, NC 28659-4229
Mailing address
282 Jones Moretz Rd
Boone, NC 28607-6268
Phone (828) 434-5197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1117580 | NC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes County Schools | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- North Wilkesboro, NC
- NPI 1235213745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1386583920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 JONES MORETZ RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286076268",
"telephone_number": "828-434-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 CHERRY ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594229",
"telephone_number": "336-651-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BETHANY",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-27",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "1117580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.