Forsyth Memorial Hospital Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORSYTH MEMORIAL HOSPITAL INC

Doing business as

Novant Health Arcadia Family Medicine

Practice address

12208 N NC Highway 150
Winston Salem, NC 27127-9730

Phone

(336) 764-2324

Fax

(336) 764-9541

NPI assigned

May 4, 2006

Last updated

Jul 10, 2023By 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 Arcadia Family Medicine 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

Locations

Practitioners 2

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.

• Lauren Stella Glova, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1376403170
  NPD
• Cara Secrest Watson, FNP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1285319053
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1427006451",
    "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": "336-764-2324",
            "fax_number": "336-764-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 N NC HIGHWAY 150",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271279730",
            "telephone_number": "336-764-2324",
            "fax_number": "336-764-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "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 Arcadia Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Arcadia Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forsyth Memorial Hospital Inc (Novant Health Rheumatology and Arthritis)
• Forsyth Memorial Hospital Inc (Novant Health Stroke Bridge Clinic)
• Forsyth Memorial Hospital Inc (Novant Pharmacy at Piedmont Hematology Oncology Associates)
• Forsyth Memorial Hospital Inc (Novant Health Forsyth Behavioral Health Outpatient)
• Forsyth Memorial Hospital Inc (Novant Health Rehabilitation Center)
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc (Pallative Care Services)
• Forsyth Memorial Hospital Inc (Forsyth Stroke and Neurosciences Institute Inpatient Specialists)
• Forsyth Memorial Hospital Inc (Novant Health Rheumatology and Arthritis ast WSHC)
• Forsyth Memorial Hospital Inc (Novant Health Psychiatry)

• Family Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, 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 Jul 10, 2023; 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.