Active NPI
Forsyth Memorial Hospital Inc
Doing business as Novant Health Osteoporosis Clinic
- Internal Medicine Physician
- Clemmons, NC
National Provider Identifier
1659718534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FORSYTH MEMORIAL HOSPITAL INC
- Doing business as
- Novant Health Osteoporosis Clinic
- Practice address
- 6915 Village Medical Cir
Clemmons, NC 27012-8002 - Phone
- (336) 718-1680
- Fax
- (336) 718-1681
- NPI assigned
- May 31, 2013
- Last updated
- Jul 11, 2023
- 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
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (704) 316-6081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6915 Village Medical Cir
Clemmons, NC 27012-8002
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (704) 384-7840
Other practice location 1
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-1680
Other names 1
- Novant Health Osteoporosis Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001702 | NC | Part B Supplier - Clinic/Group Practice | 9537071790 |
Receives reassigned benefits from 1,329 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
755 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 765-0020
Practitioners & 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Winston Salem, NC
- NPI 1356380588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1659718534",
"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": "704-384-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 VILLAGE MEDICAL CIR",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128002",
"telephone_number": "336-718-1680",
"fax_number": "336-718-1681"
}
],
"practiceLocations": [
{
"address_1": "3333 Silas Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033013",
"country_code": "US",
"telephone_number": "336-718-1680",
"fax_number": "336-718-1681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FORSYTH MEMORIAL HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-31",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"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": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Osteoporosis Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Novant Health Osteoporosis Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clemmons, NC
- Genesis Gisselle Flores Garcia, PARAMEDIC
- Toinette Fontrier, M.D.
- Food Hut Unlimited (Fortune Society)
- Alissa Foote, PT
- Forsyth Memorial Hospital (Novant Health Village Point Family Medicine)
- Forsyth Memorial Hospital Inc (Novant Health Clemmons Family Medicine)
- Forsyth Memorial Hospital, Inc (Novant Health Cardiology Clemmons)
- Forsyth Memorial Hospital, Inc (West Forsyth Internal Medicine & Pediatrics)
- Forsyth Memorial Hospital, Inc. (Novant Health Osteoporosis Clemmons)
- Forsyth Psychiatric Associates, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.