FORSYTH MEDICAL GROUP, LLC (NPI# 1467876961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467876961 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEDICAL GROUP, LLC |
| Other Organization Name | NOVANT HEALTH FORSYTH PEDIATRICS WALKERTOWN |
| Practice Address |
3431 Walkertown Commons Drive Walkertown NC 27051 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 7043847606 |
| Practice Fax Number | 3362777722 |
| Mailing Telephone | 7043847606 |
| Mailing Fax Number | 3362777722 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847606 |
| 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 Forsyth Pediatrics Walkertown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740599778 | Forsyth Medical Group, LLC | Pediatrics | 1471 Jag Branch Blvd Ste 101, Kernersville, NC 27284-6956 | 2010-09-24 |
| 1508186834 | Forsyth Medical Group, LLC | Urology | 1219 Lexington Ave Ste D, Thomasville, NC 27360-2784 | 2010-06-09 |
| 1083850069 | Forsyth Medical Group, LLC | Internal Medicine | 208 W Center St Ste B, Lexington, NC 27292-3046 | 2008-12-23 |
| 1124171160 | Forsyth Medical Group, LLC | Pediatrics | 2205 Oak Ridge Rd Ste Bb, Dba Forsyth Pediatrics Oakridge, Oak Ridge, NC 27310-8738 | 2007-01-22 |
| 1245288786 | Forsyth Medical Group, LLC | Internal Medicine | 2000 Frontis Plaza Blvd Ste 102, Winston Salem, NC 27103-5616 | 2006-05-05 |
| 1447208541 | Forsyth Medical Group, LLC | Internal Medicine | 445 Pineview Dr Ste 220, Dba Winston-salem Cardiology, Kernersville, NC 27284-3662 | 2006-05-04 |
| 1841839388 | Forsyth Medical Group, LLC | Nurse Practitioner | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2020-01-02 |
| 1205393600 | Forsyth Medical Group, LLC | Internal Medicine | 144 Forest Hill Rd Ste 144&146, Lexington, NC 27295-2008 | 2019-02-22 |
| 1710444112 | Forsyth Medical Group, LLC | Pediatrics | 167 Moore Rd, King, NC 27021-8770 | 2019-02-22 |
| 1699243485 | Forsyth Medical Group, LLC | Obstetrics & Gynecology | 6331 Carmel Rd Ste 102, Charlotte, NC 28226-8286 | 2018-11-09 |
| Street Address |
3431 WALKERTOWN COMMONS DRIVE |
| City | WALKERTOWN |
| State | NC |
| Zip Code | 27051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285081 | Teresa Matos | Technician | 2625 Celeste Rd, Walkertown, NC 27051 | 2014-04-10 |
| 1639331747 | Total Companion Care Inc | In Home Supportive Care | 3767 Day Rd, N/a, Walkertown, NC 27051 | 2008-06-30 |
| 1821110073 | Daniel Ian Mushinski | Specialist/Technologist | 4764 Beacon Park Ln., Walkertown, NC 27051 | 2007-04-06 |
| 1437284445 | Winston Eye Associates Od Pa | Optometrist | 2741 Old Hollow Rd. Hwy 66, Walkertown, NC 27051 | 2007-02-22 |
| 1336668334 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3015 Old Hollow Rd, Walkertown, NC 27051 | 2017-09-12 |
| 1508296179 | Kristina Coles | Social Worker | 2989 Mirasol Ct, Walkertown, NC 27051-9019 | 2013-11-19 |
| 1407386907 | Kenyetta Hardy | Social Worker | 2811 Darrow Rd, Walkertown, NC 27051-9206 | 2017-06-15 |
| 1205839248 | James John Hollandsworth | Family Medicine | 2800 Darrow Rd, Walkertown, NC 27051-9206 | 2005-05-23 |
| 1063733814 | Novant Medical Group, Inc | Family Medicine | 2800 Darrow Rd, Walkertown, NC 27051-9206 | 2010-06-16 |
| 1144245713 | Barbara Jean Baker | Nurse Practitioner | 2800 Darrow Rd, Walkertown, NC 27051-9206 | 2006-07-13 |
| Find all providers in zip 27051 | ||||
| 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 |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | WALKERTOWN |
| Zip Code | 27051 |
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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.