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NOVANT HEALTH SURRY MEDICAL ASSOCIATES
NPI 1043690522
Family Medicine in Mount Airy, NC

Active since June 01, 2015
2133 ROCKFORD ST, SUITE 1400, MOUNT AIRY, NC 27030(336) 719-0398(336) 719-0494 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Novant Health Surry Medical Associates NPPES

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

NOVANT HEALTH SURRY MEDICAL ASSOCIATES (NPI 1043690522) is a healthcare organization registered as a family medicine in Mount Airy, North Carolina and active in the NPI registry since June 2015. The organization lists Geoffery Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1043690522
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL INC
Location Address2133 ROCKFORD ST, SUITE 1400Mount Airy, NC 27030-6587
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 719-0398
Phone(336) 719-0398
Fax(336) 719-0494
Organization SubpartNo
Authorized OfficialGeoffery GardnerVp Of Finance · (336) 719-0398
Enumeration DateJune 1, 2015
✔ NPI 1043690522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
2133 ROCKFORD ST, Mount Airy, NC 27030
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Other Names 1

Doing Business AsNovant Health Surry Medical Associates

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

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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 Surry Medical Associates 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 Surry Medical Associates, which bills Medicare for the services they deliver. Of these, 22 practice 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
Natessa Rutherford, FNP
Nurse Practitioner
NPI 1992290654
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts MedicareSame address
Veronica Brady, FNP
Nurse Practitioner
NPI 1740434554
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts Medicare0.1 mi
Amy Puckett-Lawson, FNP-C
Nurse Practitioner
NPI 1134451206
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 719-0398
✔ PECOS✔ Accepts Medicare0.1 mi
Susan Hines
Medical Oncology
NPI 1619947215
1908 CAUDLE DR STE 200
Mount Airy, NC 27030
(336) 783-6935
✔ PECOS✔ Accepts Medicare0.8 mi
Karin Giordano, M.D.
Medical Oncology
NPI 1356315113
1908 CAUDLE DR STE 200
Mount Airy, NC 27030
(336) 783-6935
✔ PECOS✔ Accepts Medicare0.9 mi
Sheila Peterson, ARNP
Nurse Practitioner
NPI 1457561987
830 ROCKFORD ST
Mount Airy, NC 27030
(336) 719-7370
✔ PECOS✔ Accepts Medicare0.9 mi
Mallory Grose, ANP-C
Nurse Practitioner
NPI 1093089575
694 RIVERSIDE DR
Mount Airy, NC 27030
(336) 719-7892
✔ PECOS✔ Accepts Medicare3.2 mi
Nathan Mcgeathy, FNP
Nurse Practitioner
NPI 1255786273
694 RIVERSIDE DR
Mount Airy, NC 27030
(336) 719-7892
✔ PECOS✔ Accepts Medicare3.2 mi
Presley Welborn, FNP-C
Nurse Practitioner
NPI 1336968833
865 WESTLAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare3.6 mi
Savannah Hodges, NP-C
Nurse Practitioner
NPI 1174162473
865 WESTLAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare3.6 mi
Kimberly Spencer, LPC
Mental Health Counselor
NPI 1750301321
865 WESTLAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare3.6 mi
Jennifer Chapman, MD
Family Practice
NPI 1710984927
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Mark Dodd, DO
Family Practice
NPI 1184694630
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Stephanie Garcia, FNP
Nurse Practitioner
NPI 1417669037
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Darrell Garner, LCSW
Clinical Social Worker
NPI 1194795260
865 W LAKE DR
Mount Airy, NC 27030
(336) 786-7199
✔ PECOS✔ Accepts Medicare4.8 mi
Joanne Garner, FNP
Nurse Practitioner
NPI 1982037941
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Nicholas Kipreos, MD
Family Practice
NPI 1104825926
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Carl Ray Rhoden, MD
Family Practice
NPI 1992026579
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Jay Seidler, DO
Family Practice
NPI 1962407254
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare4.8 mi
Cecil Thoppil, MD
Pediatric Medicine
NPI 1962463257
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS4.8 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.

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 1043690522. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Novant Health Surry Medical Associates.

Where is Forsyth Memorial Hospital Inc located?

Forsyth Memorial Hospital Inc is located at 2133 Rockford St Suite 1400, Mount Airy, NC 27030. The listed phone number is (336) 719-0398.

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, 22 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.