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ANGELA TOVA FORNVILLE M.S., CCC-SLP
NPI 1043462682
Speech-Language Pathologist in Winterville, NC

Active since October 14, 2008
2408 CAMILLE DR, WINTERVILLE, NC 28590(252) 327-0930 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angela Tova Fornville M.s., Ccc-slp NPPES

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

ANGELA TOVA FORNVILLE M.S., CCC-SLP (NPI 1043462682) is an individual speech-language pathologist provider in Winterville, North Carolina, licensed in North Carolina (9873) and active in the NPI registry since October 2008. She maintains a secondary practice location in Winterville.

NPPES Registry Identity

NPI1043462682
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANGELA TOVA FORNVILLECredential: M.S., CCC-SLP
Location Address2408 CAMILLE DRWinterville, NC 28590-9498
Mailing Address2408 Camille DrWinterville, NC 28590-9498 · (252) 327-0930
Phone(252) 327-0930
Sole ProprietorNo
Enumeration DateOctober 14, 2008
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1043462682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 9873
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2408 CAMILLE DR, Winterville, NC 28590
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Secondary Practice Location 1

Location 14105 Dudleys Grant Dr, Apt CWinterville, NC 28590-8207 · Phone (252) 227-4855

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Tova Fornville M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Angela Fornville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kinetic Phys Therapy And Wellness Inc
4.0 mi
Physical Therapy
1540 E ARLINGTON BLVD
Greenville, NC 27858
  • Reassigned Medicare billing, North Carolina enrollment
  • 28 clinicians in this Medicare group
NPI 1063733442 (252) 364-2806

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

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 Angela Fornville's NPI number?

The NPI number for Angela Fornville is 1043462682. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Angela Fornville located?

Angela Fornville practices at 2408 Camille Dr, Winterville, NC 28590. The listed phone number is (252) 327-0930.

What is Angela Fornville's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Angela Fornville enrolled in Medicare?

Yes. Angela Fornville is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Fornville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Fornville reassigns Medicare benefits to Kinetic Phys Therapy And Wellness Inc (Greenville, NC). The 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 Angela Fornville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Fornville accept?

Health plans from Blue Cross and Blue Shield of NC list Angela Fornville 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 Angela Fornville was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.