NPIMap

Organization Active NPI

Forsyth Emergency Services, P.a.

  • Emergency Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1649256983
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FORSYTH EMERGENCY SERVICES, P.A.
Practice address
3333 Silas Creek Pkwy
Emergency Dept.
Winston-Salem, NC 27103-3013
Phone
(314) 238-5260
Fax
(314) 821-1833
NPI assigned
Dec 19, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Dr. Steven Collins, M.D.NPI 1861476459
Title
Treasurer
Phone
(336) 765-9328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Emergency Dept.
Winston-Salem, NC 27103-3013

Mailing address

PO Box 75332
Charlotte, NC 28275-0332
Phone (314) 238-5260

Other identifiers 2

IdentifierTypeStateIssuer
CN0938OtherNCMEDICARE ID TYPE UNSPECIFIED
890196CMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000351 NC Part B Supplier - Clinic/Group Practice 1153358171 Receives reassigned benefits from 69 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1649256983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75332",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282750332",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "address_2": "EMERGENCY DEPT.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH EMERGENCY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "336-765-9328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "CN0938",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890196C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.