FORSYTH MEDICAL GROUP LLC (NPI# 1003078999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003078999 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEDICAL GROUP LLC |
| Other Organization Name | NOVANT HEALTH TWIN CITY PEDIATRICS |
| Practice Address |
2821 Maplewood Ave Winston Salem NC 27103-4137 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367183960 |
| Practice Fax Number | 3367183998 |
| Mailing Telephone | 3367183960 |
| Mailing Fax Number | 3367183998 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | GEOFFREY GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043849094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Twin City Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902332406 | Forsyth Medical Group LLC | Pediatrics | 1471 Jag Branch Rd, Suite 101, Kernersville, NC 27284-6956 | 2017-05-04 |
| 1245244094 | Forsyth Medical Group LLC | Physician Assistant | 2000 Frontis Plaza Blvd Ste 2000, Winston Salem, NC 27103-5616 | 2006-07-28 |
| 1013430107 | Forsyth Medical Group LLC | Pediatrics | 648 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-07-20 |
| 1205191418 | Forsyth Medical Group LLC | Internal Medicine | 189 Samaritans Ridge Rd, Elkin, NC 28621-2472 | 2012-07-13 |
| 1255542742 | Forsyth Medical Group LLC | Urology | 180 Kimel Park Dr Ste 110, Winston Salem, NC 27103-6970 | 2007-05-25 |
| 1285682310 | Forsyth Medical Group LLC | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2006-05-04 |
| 1528016516 | Forsyth Medical Group LLC | Physician Assistant | Robinhood Medical Plaza, Bldg 200, Winston-salem, NC 27106 | 2006-05-04 |
| 1114985017 | Forsyth Medical Group LLC | Physician Assistant | 240 Broad St, Kernersville, NC 27284-2930 | 2006-05-02 |
| 1073571881 | Forsyth Medical Group LLC | Physician Assistant | 2001 Todays Woman Ave, Winston-salem, NC 27105-5069 | 2006-05-02 |
| Street Address |
2821 MAPLEWOOD AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099532 | Donna B Moyer | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2005-08-03 |
| 1568994903 | Timothy Brady | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2017-04-03 |
| 1598101727 | Emily Leroy Smith | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2013-05-14 |
| 1558652016 | Stephanie Gayle Forrest | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2011-05-02 |
| 1619132628 | Amanda Kennedy Littleton | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2008-07-20 |
| 1952575565 | Kendra Kathleen Martin Barry | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2008-04-15 |
| 1891907879 | Jennifer A Brammer | Family Medicine | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2007-05-04 |
| 1649303199 | Katherine Meadows Harper | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2007-03-13 |
| 1528164423 | Whitney Merrill Ewing | Nurse Practitioner | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2006-09-16 |
| 1720008410 | Charles S Hayek | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609223601 | Ashmitha Raja | Pediatrics | Medical Centre Blvd, Winston Salem, NC 27157-0001 | 2016-05-19 |
| 1598128050 | Rebecca Palmer | Pediatrics | Brenner Childrens Hospital 300 Medical Blvd, Dept of Pediatrics, Winston Salem, NC 27157-0001 | 2016-04-01 |
| 1396131157 | Sarah Barnes Bingham | Pediatrics | One Medical Center Boulevard Emergency Medicine, Winston Salem, NC 27157 | 2015-04-08 |
| 1841685849 | Anna Hang Verenes | Pediatrics | Wake Forest Baptist Health Pediatrics, Medical Center Blvd, Winston Salem, NC 27157 | 2015-04-06 |
| 1568875227 | Kimberly Myers | Pediatrics | Wake Forest Baptist Medical, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-06-10 |
| 1760700736 | Jennifer Mickle Cooper | Pediatrics | 2295 E 14th St Ste 100, Winston Salem, NC 27105-6804 | 2010-05-14 |
| 1215179700 | Cyndy Edwards Lively | Pediatrics | 1417 Brookstown Ave, Winston Salem, NC 27101-1126 | 2009-03-30 |
| 1205003274 | Bahar Emily Esmaili | Pediatrics | Wake Forest University Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-05-09 |
| 1922274240 | Mdfamily Medical Group | Pediatrics | 138 S Cherry St, Winston Salem, NC 27101-5272 | 2008-05-06 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.