Active NPI
Forsyth Family Practice PA
- Family Medicine Physician
- Winston Salem, NC
National Provider Identifier
1629030259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25935
- Legal business name
- FORSYTH FAMILY PRACTICE PA
- Practice address
- 400 Jonestown Rd
Winston Salem, NC 27104-4623 - Phone
- (336) 768-9515
- Fax
- (336) 768-9082
- NPI assigned
- Apr 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melvin Kenneth Morgan II, MD
- Title
- President Forsyth Family Practice P
- Phone
- (336) 768-9515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25935 | NC | Primary |
| Family Medicine Physician | 207Q00000X | 31076 | NC |
Addresses
Primary practice location
400 Jonestown Rd
Winston Salem, NC 27104-4623
Mailing address
400 Jonestown Rd
Winston Salem, NC 27104-4623
Phone (336) 768-9515
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1629039557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629030259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 JONESTOWN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044623",
"telephone_number": "336-768-9515",
"fax_number": "336-768-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 JONESTOWN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044623",
"telephone_number": "336-768-9515",
"fax_number": "336-768-9082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORSYTH FAMILY PRACTICE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT FORSYTH FAMILY PRACTICE P",
"authorized_official_telephone_number": "336-768-9515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "25935",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "31076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Forsyth County Public Health Cleveland Ave Dental Center
- Forsyth Eldercare Professionals Inc
- Forsyth Emergency Services, P.a.
- Forsyth Eye Health and Surgery PC
- Forsyth Family Counseling, PLLC
- Forsyth Medical Group LLC (MindBridge Behavioral Health)
- Forsyth Medical Supply, Inc.
- Forsyth Memorial Hospital Inc (Novant Health Forsyth Family Medicine)
- Forsyth Memorial Hospital Inc (Novant Health Cardiology)
- Forsyth Memorial Hospital Inc (Novant Health North Point Medical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.