WEST FORSYTH PAIN MANAGEMENT
NPI 1053692079
Physician Assistant - Medical in Clemmons, NC

Active since September 03, 2011
2554 LEWISVILLE CLEMMONS RD, SUITE 211, CLEMMONS, NC 27012(336) 740-9444(336) 740-9445 Get Directions Write a Review

NPPES record last updated: September 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Forsyth Pain Management NPPES

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

WEST FORSYTH PAIN MANAGEMENT (NPI 1053692079) is a healthcare organization registered as a medical in Clemmons, North Carolina and active in the NPI registry since September 2011. The organization lists Amanda Anne Zimmerman, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1053692079
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameWEST FORSYTH PAIN MANAGEMENT
Location Address2554 LEWISVILLE CLEMMONS RD, SUITE 211Clemmons, NC 27012-8110
Mailing Address2554 Lewisville Clemmons Rd, Suite 211Clemmons, NC 27012-8110 · (336) 740-9444 · Fax (336) 740-9445
Fax(336) 740-9445
Organization SubpartNo
Authorized OfficialAmanda Anne ZimmermanPhysician Assistant · (336) 740-9444
Enumeration DateSeptember 3, 2011
NPI 1053692079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 101887
2554 LEWISVILLE CLEMMONS RD, Clemmons, NC 27012

Other Identifiers 1

Medicare UPINS21055

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
2554 LEWISVILLE CLEMMONS RD, STE 306-G
CLEMMONS, NC 27012
Physician Assistant
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Dentist (General Practice)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Radiology (Diagnostic Ultrasound)
2554 LEWISVILLE CLEMMONS RD, SUITE 201 BOX 11
CLEMMONS, NC 27012
Nurse Practitioner (Family)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Physical Medicine & Rehabilitation
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Dentist (General Practice)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Family Medicine
2554 LEWISVILLE CLEMMONS RD, SUITE 109
CLEMMONS, NC 27012

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 West Forsyth Pain Management's NPI number?

The NPI number for West Forsyth Pain Management is 1053692079. It was assigned to this organization in the NPPES registry on September 3, 2011.

Where is West Forsyth Pain Management located?

West Forsyth Pain Management is located at 2554 Lewisville Clemmons Rd Suite 211, Clemmons, NC 27012. The listed phone number is (336) 740-9444.

What is West Forsyth Pain Management's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for West Forsyth Pain Management was last updated on September 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.