Bethany Medical Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D2089959 Issued in NC

Legal business name

BETHANY MEDICAL CENTER

Practice address

575 N Patterson Ave
Suite 440
Winston Salem, NC 27101-4101

Phone

(877) 722-8910

NPI assigned

Aug 24, 2015

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BETHANY ADVANCE DIAGNOSTIC LABAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lenin J Peters, MDNPI 1083638860

Title

President/Ceo

Phone

(336) 883-0029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bethany Medical Center

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1952404188

  4486614575

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bethany Medical Center PA

  dba Bethany Diagnositc Center

  • Clinical Medical Laboratory
  • Kernersville, NC
  • NPI 1134631591

  O20151117001591

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Bethany Medical Ctr PA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lenin J Peters, M.D.

  • Gastroenterology Physician
  • High Point, NC
  • NPI 1083638860
  Authorized official Same address or phone
• Douglas Dane Blevins, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1992705982
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1467829663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624303",
            "telephone_number": "336-883-0029",
            "fax_number": "336-899-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N PATTERSON AVE",
            "address_2": "SUITE 440",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014101",
            "telephone_number": "877-722-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHANY ADVANCE DIAGNOSTIC LAB",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LENIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-883-0029",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D2089959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethany Medical Center
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• James Frank Bethea, MD
• Nancy Marie Bethea, LPC

• Clinical Medical Laboratory in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.