FORSYTH MEDICAL GROUP, LLC (NPI# 1740599778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740599778 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEDICAL GROUP, LLC |
| Other Organization Name | NOVANT HEALTH FORSYTH PEDIATRICS AFTER HOURS |
| Practice Address |
1471 Jag Branch Blvd Ste 101 Kernersville NC 27284-6956 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3365157420 |
| Practice Fax Number | 3365157430 |
| Mailing Telephone | 3369969500 |
| Mailing Fax Number | 3369962354 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2018-12-10 |
| 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 After Hours | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467876961 | Forsyth Medical Group, LLC | Pediatrics | 3431 Walkertown Commons Drive, Walkertown, NC 27051 | 2014-02-05 |
| 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 |
1471 JAG BRANCH BLVD STE 101 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-6956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780072330 | Kelly Lynn Stout | Nurse Practitioner | 1471 Jag Branch Blvd Ste 101, Kernersville, NC 27284-6956 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| 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 |
|---|---|---|---|---|
| 1376055087 | Shelley Rickman | Pediatrics | 861 Old Winston Rd Ste 103, Kernersville, NC 27284-7141 | 2017-11-03 |
| 1902332406 | Forsyth Medical Group LLC | Pediatrics | 1471 Jag Branch Rd, Suite 101, Kernersville, NC 27284-6956 | 2017-05-04 |
| 1427344985 | Kristin Dickson | Pediatrics | 111 Gateway Center Drive, Kernersville, NC 27284-2999 | 2011-06-23 |
| 1144468083 | Highroad Pediatrics, Pa | Pediatrics | 815 Old Winston Rd, Kernersville, NC 27284-7121 | 2009-01-30 |
| 1356388540 | Leslie Rierson Smith | Pediatrics | 861old Winston Road, Suite 103, Kernersville, NC 27284 | 2006-05-31 |
| 1982682183 | Michael E. Albright | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2006-01-06 |
| 1205836541 | Rebecca P Ball | Pediatrics | 861 Old Winston Rd Ste 101, Kernersville, NC 27284-7141 | 2005-07-28 |
| 1316382559 | Cornerstone Health Care LLC | Pediatrics | 110 Harmon Ln, Suite A, Kernersville, NC 27284-3472 | 2013-05-01 |
| 1184939241 | Forsyth Medical Group, LLC | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2010-08-13 |
| 1487879177 | Cornerstone Health Care, Pa | Pediatrics | 861 Old Winston Rd, Suite 103, Kernersville, NC 27284 | 2007-04-16 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.