Forsyth Memorial Hospital Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORSYTH MEMORIAL HOSPITAL INC

Doing business as

Novant Health Pineview Family Medicine

Practice address

500 Pineview Dr
Suite 101
Kernersville, NC 27284-3813

Phone

(336) 992-2340

Fax

(336) 992-2350

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Katthryn Langford

Title

SVP & Coo Novant Medical Group

Phone

(704) 384-7603

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Pineview Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Tiffany Shante Gibson, APRN,BC, MN, RNC

  • Nurse Practitioner
  • King, NC
  • NPI 1033212287
  NPD

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1487902789",
    "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": "336-992-2340",
            "fax_number": "336-992-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINEVIEW DR",
            "address_2": "SUITE 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843813",
            "telephone_number": "336-992-2340",
            "fax_number": "336-992-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "KATTHRYN",
        "authorized_official_title_or_position": "SVP & COO NOVANT MEDICAL GROUP",
        "authorized_official_telephone_number": "704-384-7603"
    },
    "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 Pineview Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zelda Fleming, FNP-BC
• Joseph B Fonke, D.C.
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital, Inc

• Family Medicine Physician in Kernersville, NC
• Providers in Kernersville, 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 2, 2013; 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.