Kailey Alexa Forth, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2025-00915 Issued in NC

Practice address

4414 Lake Boone TRL Ste 103
Raleigh, NC 27607-7520

Phone

(919) 787-0266

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HICECA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Oak Pediatric Associates PA

  • Specialist
  • Raleigh, NC
  • NPI 1902953045
  NPD
• White Oak Pediatric Associates

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1891939286
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1235889353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-787-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-787-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTH",
        "first_name": "KAILEY",
        "middle_name": "ALEXA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2025-00915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Forsyth, M.D.
• Charles Alfred Fort
• Carl Lee Forte
• Carla Forte, LCSW, LCAS
• Elizabeth Marie Fortener, P.T.
• Fortier Gynecology PLLC
• Kenneth Joseph Fortier, M.D.
• Teresa M. Fortner, M.O.T. OTR L
• Nicole C Fortune, MSW
• Forward Speech and Language Therapy, PLLC

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.