Active NPI
Forsyth Memorial Hospital, Inc
- Family Medicine Physician
- Thomasville, NC
National Provider Identifier
1982652004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FORSYTH MEMORIAL HOSPITAL, INC
- Practice address
- 1301 National Hwy
Thomasville, NC 27360-2317 - Phone
- (336) 474-1002
- Fax
- (336) 474-1109
- NPI assigned
- May 4, 2006
- Organization subpart
- Yes
- Parent organization
- FORSYTH MEMORIAL HOSPITAL, INC
NPPES NPI Registry
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) 474-1002
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1301 National Hwy
Thomasville, NC 27360-2317
Mailing address
2000 Frontis Plaza Blvd Ste 102
Attn: Forsyth Medical Group
Winston Salem, NC 27103-5616
Phone (336) 474-1002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA1315 | Other | NC | RAILROAD MEDICARE |
| 5900671 | Medicaid | NC |
Other names 1
- Family Medicine Associates of Thomasville
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 Directory- Part of
- Invalid Entry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1982652004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 FRONTIS PLAZA BLVD STE 102",
"address_2": "ATTN: FORSYTH MEDICAL GROUP",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035616",
"telephone_number": "336-474-1002",
"fax_number": "336-474-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 NATIONAL HWY",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273602317",
"telephone_number": "336-474-1002",
"fax_number": "336-474-1109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FORSYTH MEMORIAL HOSPITAL, INC",
"enumeration_date": "2006-05-04",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "GRIER",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "336-474-1002"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA1315",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900671",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Medicine Associates of Thomasville",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.