Organization · Type 2 NPI

Bethany Medical Center

Nurse Practitioner · Mount Airy, NC

NPI number 1528525839 Active

Practice location

1908 Caudle Dr Ste 105
Mount Airy, NC 27030-4322

Fax (336) 883-0867

Mailing address

645 N Main St
High Point, NC 27260-5017

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pain Medicine Physician 208VP0000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

About NPI 1528525839

Bethany Medical Center's National Provider Identifier is 1528525839, issued on Feb 22, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Airy, NC. The record was last updated on Jun 24, 2026.