Forsyth Memorial Hospital, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORSYTH MEMORIAL HOSPITAL, INC

Doing business as

Novant Health Surry Medical Associates

Practice address

865 Westlake Dr
Mount Airy, NC 27030-2102

Phone

(336) 719-6100

Fax

(336) 719-2313

NPI assigned

May 4, 2006

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leea Jeanine Walton

Title

RCS Manager

Phone

(704) 316-6081

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Surry Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 297

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Nicole Addington, FNP-C

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1174251193
  NPD
• Loray Antoinette Blair-Britt, M.D.

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1932191400
  NPD
• Heidi Diane Brown, PA

  • Physician Assistant
  • Mount Airy, NC
  • NPI 1336229061
  NPD
• Mark Alan Dodd, DO

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1184694630
  NPD
• Joanne Minish Garner, FNP

  • Nurse Practitioner
  • Mount Airy, NC
  • NPI 1982037941
  NPD
• Ashlee Perkinson Laughey, MD

  • Family Medicine Physician
  • King, NC
  • NPI 1639523327
  NPD
• Carl Ray Rhoden, MD

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1992026579
  NPD
• Tracey Elledge Sheets, FNP-C

  • Nurse Practitioner
  • North Wilkesboro, NC
  • NPI 1801992334
  NPD
• Mikayla Aiko Abee Thomas

  • Physician Assistant
  • King, NC
  • NPI 1174345680
  NPD (past)
• Briauna Nichole Hester Adams, PA

  • Physician Assistant
  • Greensboro, NC
  • NPI 1801612858
  NPD (past)
• John Gregory Albritton, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1770711517
  NPD (past)
• Rahel Haimanot Alemu, M.D.

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1194039636
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1295783108",
    "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": "336-719-6100",
            "fax_number": "336-719-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 WESTLAKE DR",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302102",
            "telephone_number": "336-719-6100",
            "fax_number": "336-719-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "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 Surry Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Surry Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Fleming, OTR/L
• Virginia Taylor Floyd, MD
• Elizabeth Nail Ford, DPT
• Forsyth Memorial Hospital Inc (Novant Health Surry Medical Associates)
• Forsyth Memorial Hospital Inc (Novant Health Cancer Institute)
• Forsyth Memorial Hospital, Inc (Novant Health Cardiology Mount Airy)
• Forsyth Memorial Hospital, Inc (Medical Associates of Surry)
• Cindy Fortner, CRNA
• Foundation Health Systems Corp (Edwin H. Martinat Comprehensive Outpatient Rehabilitation Center)
• Aaron M France, D.O.

• Family Medicine Physician in Mount Airy, NC
• Providers in Mount Airy, 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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.