Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Medical Clinic, LLC

Organization Family Nurse Practitioner · NPI 1487792032

Bethany Medical Clinic, LLC provides Family Nurse Practitioner services in Cleveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

548 E Rosemary Rd Ste B
Cleveland, MS 38732 Not confirmed with CMS for 16 years — call before visiting
Phone: (662) 846-5032
Fax: (662) 846-5034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R793654 (MS)

Record details

NPI number1487792032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricky Moore — Ins. Clerk · (662) 846-5032
NPI enumeratedFebruary 2, 2007
Last updated in NPPESMarch 9, 2010
Mailing addressPo Box 358, Cleveland, MS 38732-0358

Other providers in Cleveland