Forsyth Memorial Hospital, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FORSYTH MEMORIAL HOSPITAL, INC

Practice address

694 Riverside Drive
Mt. Airy, NC 27030-3117

Phone

(336) 719-7892

Fax

(336) 719-7898

NPI assigned

Oct 24, 2014

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 Cardiology Mount Airy 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 9

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

• Jennifer Doby Davis, AGNP-C

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1508107707
  NPD
• Aliza Lauren Hekman, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1346496700
  NPD
• Steven Lewis Laws, PA

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1932174208
  NPD
• Brendan Patrick Oakes Monaghan, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1932688967
  NPD
• Gabrielle Mortis, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1306331236
  NPD
• Rajasekhar Nekkanti, MD

  • Cardiovascular Disease Physician
  • Greenville, NC
  • NPI 1568456366
  NPD
• Sanjay Prasher, MD

  • Clinical Cardiac Electrophysiology Physician
  • Fayetteville, NC
  • NPI 1922009935
  NPD
• Kenneth Rhinehart, M.D.

  • Cardiovascular Disease Physician
  • Kernersville, NC
  • NPI 1750362430
  NPD
• Deepak Joshi, M.D.

  • Cardiovascular Disease Physician
  • Lafayette, IN
  • NPI 1154506582
  NPD

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1538564232",
    "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": "336-719-7892",
            "fax_number": "336-719-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 RIVERSIDE DRIVE",
            "city": "MT. AIRY",
            "state": "NC",
            "postal_code": "270303117",
            "telephone_number": "336-719-7892",
            "fax_number": "336-719-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Cardiology Mount Airy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Cardiology Mount Airy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Taylor Floyd, MD
• Elizabeth Nail Ford, DPT
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital Inc
• Forsyth Memorial Hospital, Inc
• Forsyth Memorial Hospital, Inc
• Cindy Fortner, CRNA
• Foundation Health Systems Corp
• Aaron M France, D.O.
• Robin M France, DPM

• Cardiovascular Disease Physician in Mt. Airy, NC
• Providers in Mt. Airy, NC by specialty
• Cardiovascular Disease 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.