Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bethany Medical Clinic, LLC

Family Nurse Practitioner in Cleveland, MS · enumerated 2007 · authorized official Ricky Moore, Ins. Clerk.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487792032

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Registry record

Entity type Organization (Type 2)

Legal business name Bethany Medical Clinic, LLC

Practice address 548 East Rosemary Road, Suite B, Cleveland, MS, 38732

Phone (662) 846-5032

Fax (662) 846-5034

Enumeration date Feb 2, 2007

Last updated in NPPES Mar 9, 2010

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R793654 (MS) Primary

Authorized official

Name Ricky Moore

Title Ins. Clerk

Phone (662) 846-5032

Other identifiers

Identifier	Type	State	Issuer
07021837	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Bethany Medical Clinic, LLC located?

The practice location on file with NPPES is in Cleveland, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-03-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-09.