NPIMap

Organization Active NPI

Forsyth Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1407669997
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FORSYTH MEDICAL GROUP, LLC
Doing business as
Femwell Gynecology and Wellness
Practice address
7006 Shannon Willow Rd Ste a
Charlotte, NC 28226-1318
Phone
(980) 960-0526
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7006 Shannon Willow Rd Ste a
Charlotte, NC 28226-1318

Mailing address

2085 Frontis Plaza Blvd FL 3
Winston Salem, NC 27103-5614
Phone (336) 277-8755

Other names 1

  • Femwell Gynecology and Wellness 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…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2319348Femwell Gynecology and Wellness, PLLC7006 Shannon Willow Rd, Ste a, Charlotte, NC 28226Provider-performed microscopyFeb 26, 2027

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": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1407669997",
    "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": "336-277-8755",
            "fax_number": "336-277-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 SHANNON WILLOW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "980-960-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "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": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Femwell Gynecology and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.