Forsyth Memorial Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORSYTH MEMORIAL HOSPITAL

Doing business as

Novant Health Village Point Family Medicine

Practice address

7130 Village Medical Cir
Clemmons, NC 27012-8004

Phone

(336) 893-2420

Fax

(336) 893-2431

NPI assigned

Jun 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Geoffrey Keith Gardner

Title

Vpfinance

Phone

(704) 384-7603

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Village Point Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Grant Clayton, FNP

  • Nurse Practitioner
  • North Wilkesboro, NC
  • NPI 1598498305
  NPD
• Joan Reback Williams, MD

  • Family Medicine Physician
  • Yadkinville, NC
  • NPI 1194786723
  NPD
• Patricia Grimes Williams, NP

  • Family Nurse Practitioner
  • Yadkinville, NC
  • NPI 1780657833
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1114332293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 VILLAGE MEDICAL CIR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128004",
            "telephone_number": "336-893-2420",
            "fax_number": "336-893-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "VPFINANCE",
        "authorized_official_telephone_number": "704-384-7603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Village Point Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Arthur Florack, MD
• Genesis Gisselle Flores Garcia, PARAMEDIC
• Toinette Fontrier, M.D.
• Food Hut Unlimited (Fortune Society)
• Alissa Foote, PT
• Forsyth Memorial Hospital Inc (Novant Health Osteoporosis Clinic)
• Forsyth Memorial Hospital Inc (Novant Health Clemmons Family Medicine)
• Forsyth Memorial Hospital, Inc (Novant Health Cardiology Clemmons)
• Forsyth Memorial Hospital, Inc (West Forsyth Internal Medicine & Pediatrics)
• Forsyth Memorial Hospital, Inc. (Novant Health Osteoporosis Clemmons)

• Family Medicine Physician in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.