Forsyth Memorial Hospital Inc
Organization Active NPI Family Medicine Physician · Winston Salem, NC
NPI 1033488358 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1033488358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FORSYTH MEMORIAL HOSPITAL INC
- Practice address
- 400 Jonestown Rd
Winston Salem, NC 27104-4623 - Phone
- (336) 769-9515
- Fax
- (336) 768-9082
- NPI assigned
- Dec 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (704) 316-6081
Practitioners 9
-
Mallory Williams Grose, ANP-C
-
Matthew Carroll Horton, PA-C
-
Matthew Evan Levy, M.D.
-
John Robert Absher, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001702 | NC | Part B Supplier - Clinic/Group Practice | 9537071790 |
Receives reassigned benefits from 1,329 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
400 Jonestown Rd
Winston Salem, NC 27104-4623
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (704) 384-7603
Other names
- Novant Health Forsyth Family Medicine
Other providers in Winston Salem, NC
- Forsyth Eye Health and Surgery PC
- Forsyth Family Counseling, PLLC
- Forsyth Family Practice PA
- Forsyth Medical Group LLC
- Forsyth Medical Supply, Inc.
- Forsyth Memorial Hospital Inc
- Forsyth Memorial Hospital Inc
- Forsyth Memorial Hospital Inc
- Forsyth Memorial Hospital Inc
- Forsyth Memorial Hospital Inc
All providers in Winston Salem, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.