NPIMap

Organization Active NPI

Forsyth Memorial Hospital, Inc

  • Family Medicine Physician
  • Advance, NC
National Provider Identifier
1831376797
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Practice address
121 Medical Dr
Dba Medical Associates of Davie - Hillsdale
Advance, NC 27006-6651
Phone
(336) 998-9060
Fax
(336) 998-9061
NPI assigned
Jan 23, 2008
Organization subpart
Yes
Parent organization
FORSYTH MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Michele Grier
Title
VP Operations
Phone
(336) 277-2421

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

121 Medical Dr
Dba Medical Associates of Davie - Hillsdale
Advance, NC 27006-6651

Mailing address

2000 Frontis Plaza Blvd Ste 102
Novant Medical Group
Winston Salem, NC 27103-5616
Phone (336) 277-2435

Other identifiers 2

IdentifierTypeStateIssuer
02054OtherNCBCBS GRP ID#
7902054MedicaidNC

Other names 1

  • Medical Associates of Davie - Hillsdale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry56 organizations share this tax ID, including this one
Part of
Invalid Entry

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1831376797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 102",
            "address_2": "NOVANT MEDICAL GROUP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2435",
            "fax_number": "336-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL DR",
            "address_2": "DBA MEDICAL ASSOCIATES OF DAVIE - HILLSDALE",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066651",
            "telephone_number": "336-998-9060",
            "fax_number": "336-998-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "336-277-2421"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP ID#",
            "identifier": "02054",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902054",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates of Davie - Hillsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Advance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.