FORSYTH MEDICAL GROUP LLC (NPI# 1902332406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902332406 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEDICAL GROUP LLC |
| Other Organization Name | NOVANT HEALTH FORSYTH PEDIATRICS UNION CROSS |
| Practice Address |
1471 Jag Branch Rd Suite 101 Kernersville NC 27284-6956 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3369938333 |
| Mailing Telephone | 3367184820 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | MR. GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847840 |
| 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 Union Cross | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003078999 | Forsyth Medical Group LLC | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2008-07-01 |
| 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 |
1471 JAG BRANCH RD SUITE 101 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-6956 |
| 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 |
| 1427344985 | Kristin Dickson | Pediatrics | 111 Gateway Center Drive, Kernersville, NC 27284-2999 | 2011-06-23 |
| 1740599778 | Forsyth Medical Group, LLC | Pediatrics | 1471 Jag Branch Blvd Ste 101, Kernersville, NC 27284-6956 | 2010-09-24 |
| 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.