NOVANT HEALTH FORSYTH FAMILY MEDICINE
NPI 1033488358
Family Medicine in Winston Salem, NC

Active since December 15, 2011CLIA 34D0237654 · Certificate of Compliance
400 JONESTOWN RD, WINSTON SALEM, NC 27104(336) 769-9515(336) 768-9082 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Aug 18, 2021 (2 updates tracked since 2021).

About Novant Health Forsyth Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH FORSYTH FAMILY MEDICINE (NPI 1033488358) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since December 2011. The organization holds a CLIA Certificate of Compliance certificate valid through January 15, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1033488358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL INC
Location Address400 JONESTOWN RDWinston Salem, NC 27104-4623
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (704) 384-7603 · Fax (704) 417-4479
Fax(336) 768-9082
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateDecember 15, 2011
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1033488358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 JONESTOWN RD, Winston Salem, NC 27104

Other Names 1

Doing Business AsNovant Health Forsyth Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Forsyth Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040405001702Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

1,202

Medicare enrollment records show 1,202 clinicians reassign Medicare billing to Novant Health Forsyth Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 450 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Certified Registered Nurse Anesthetist (CRNA)543
Nurse Practitioner202
Family Practice69
Cardiovascular Disease (Cardiology)47
Internal Medicine47
Psychiatry41
Neurology40
Hospitalist35
26 other specialties178

Nearest to this location (20)

See all 1,202
Family Practice
NPI 1952353708
400 JONESTOWN RD
Winston Salem, NC 27104
(336) 768-9515
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568055895
400 JONESTOWN RD
Winston Salem, NC 27104
(336) 768-9515
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396706883
400 JONESTOWN RD
Winston Salem, NC 27104
(336) 768-9515
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306826466
4937 OLD COUNTRY CLUB ROAD
Winston Salem, NC 27104
(336) 718-4510
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1356511216
4937 OLD COUNTRY CLUB RD
Winston Salem, NC 27104
(336) 718-4510
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1942655071
4937 OLD COUNTRY CLUB RD
Winston Salem, NC 27104
(336) 718-4510
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1811347586
4937 OLD COUNTRY CLUB RD
Winston Salem, NC 27104
(336) 718-4510
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1518334994
105 HANES SQUARE CIR
Winston Salem, NC 27103
(336) 441-5569
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1851370845
105 VEST MILL CIR
Winston Salem, NC 27103
(336) 718-7800
✔ PECOS✔ Accepts Medicare1.3 mi
Infectious Disease
NPI 1801021225
1381 WESTGATE CENTER DR
Winston Salem, NC 27103
(336) 718-0440
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1427038488
1381 WESTGATE CENTER DR DBA FORSYTH INTERNAL MEDICINE
Winston Salem, NC 27103
(336) 718-0100
✔ PECOS✔ Accepts Medicare1.5 mi
Podiatry
NPI 1982050217
3641 WESTGATE CENTER CIR STE A
Winston Salem, NC 27103
(336) 277-6550
✔ PECOS✔ Accepts Medicare1.5 mi
Physician Assistant
NPI 1720058282
250 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 718-1000
✔ PECOS✔ Accepts Medicare2.0 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1144200734
2025 FRONTIS PLAZA BLVD STE 100
Winston Salem, NC 27103
(336) 718-6199
✔ PECOS✔ Accepts Medicare2.1 mi
Urology
NPI 1154941037
140 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 716-4131
✔ PECOS✔ Accepts Medicare2.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811141468
3333 SILAS CREEK PARKWAY
Winston-salem, NC 27103
(336) 651-8100
✔ Accepts Medicare2.2 mi
Neurology
NPI 1962699892
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7594
✔ PECOS✔ Accepts Medicare2.2 mi
Hospitalist
NPI 1255383428
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7080
✔ PECOS✔ Accepts Medicare2.2 mi
Psychiatry
NPI 1558620682
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 277-1800
✔ PECOS✔ Accepts Medicare2.2 mi
Gynecological Oncology
NPI 1831331495
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 277-8800
✔ PECOS✔ Accepts Medicare2.2 mi
See all 1,202 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D0237654

Novant Health Forsyth Family Medicine · Winston Salem, NC
Active · expires Jan 15, 2028
CLIA Number34D0237654
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorJames C. Spencer
Laboratory Phone(336) 768-9515
Laboratory LocationNovant Health Forsyth Family Medicine400 Jonestown Road, Winston Salem, NC 27104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forsyth Memorial Hospital Inc's NPI number?

The NPI number for Forsyth Memorial Hospital Inc is 1033488358. It was assigned to this organization in the NPPES registry on December 15, 2011. The provider is doing business as Novant Health Forsyth Family Medicine.

Where is Forsyth Memorial Hospital Inc located?

Forsyth Memorial Hospital Inc is located at 400 Jonestown Rd, Winston Salem, NC 27104. The listed phone number is (336) 769-9515.

What is Forsyth Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Forsyth Memorial Hospital Inc enrolled in Medicare?

Yes. Forsyth Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

When is Forsyth Memorial Hospital Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Forsyth Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,202 clinicians in 34 Medicare specialties reassign their Medicare billing to Forsyth Memorial Hospital Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (543), Nurse Practitioner (202) and Family Practice (69). Of these, 3 practice at this address and 450 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forsyth Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0237654) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forsyth Memorial Hospital Inc accept?

Health plans from Cigna Healthcare list Forsyth Memorial Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forsyth Memorial Hospital Inc was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.