NPIMap

Organization Active NPI

Forsyth Medical Group, LLC

  • Internal Medicine Physician
  • Asheboro, NC
National Provider Identifier
1306729918
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FORSYTH MEDICAL GROUP, LLC
Practice address
610 N Fayetteville St Ste 103
Asheboro, NC 27203-4671
Phone
(336) 625-1285
Fax
(336) 625-3984
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Jody Morris
Title
VP Ops & New Development
Phone
(919) 497-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

610 N Fayetteville St Ste 103
Asheboro, NC 27203-4671

Mailing address

2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-1611

Other names 1

  • Premier Internal Medicine & Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031201000123 NC Part B Supplier - Clinic/Group Practice 3678478054 Receives reassigned benefits from 55 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Randleman, NC; Raleigh, NC; Monroe, NC; Matthews, NC; Jamestown, NC; Huntersville, NC; Hickory, NC…

National Provider Directory

National Provider Directory
Tax ID family
Forsyth Medical Group LLC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1306729918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD FL 3",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST STE 103",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034671",
            "telephone_number": "336-625-1285",
            "fax_number": "336-625-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "VP OPS & NEW DEVELOPMENT",
        "authorized_official_telephone_number": "919-497-8401"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Internal Medicine & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.