Nurse Practitioner
BETHANY MEDICAL CENTER
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528525839 · enumerated 2019-02-22 · record updated 2026-06-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LENIN PETERS MD, CEO · (336) 883-0029
Addresses and phones
- Mailing address 645 N MAIN ST, HIGH POINT, NC, 27260-5017 (369) 670-8463 Fax (336) 899-2176 Google Maps Apple Maps OpenStreetMap
- Practice location 1908 CAUDLE DR STE 105, MOUNT AIRY, NC, 27030-4322 (336) 883-0029 Fax (336) 883-0867 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Nurse Practitioner, Family 363LF0000X
- Family Medicine 207Q00000X
- 208VP0000X 208VP0000X
- Internal Medicine 207R00000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
MOUNT AIRY, NC, 270304322
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.