NH FORSYTH SPECIALTY CLINICS
NPI 1114649894
Dermatology in Winston Salem, NC

Active since September 19, 2022
175 KIMEL PARK DR, WINSTON SALEM, NC 27103(704) 384-4000 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2023, Sep 19, 2022 (2 updates tracked since 2022).

About Nh Forsyth Specialty Clinics NPPES

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

NH FORSYTH SPECIALTY CLINICS (NPI 1114649894) is a healthcare organization registered as a dermatology in Winston Salem, North Carolina and active in the NPI registry since September 2022. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1114649894
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL, INC.
Location Address175 KIMEL PARK DRWinston Salem, NC 27103-6951
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateSeptember 19, 2022
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1114649894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
175 KIMEL PARK DR, Winston Salem, NC 27103

Other Names 1

Doing Business AsNh Forsyth Specialty Clinics

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)

Nh Forsyth Specialty Clinics 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 Nh Forsyth Specialty Clinics, which bills Medicare for the services they deliver. Of these, 29 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
Clinical Social Worker
NPI 1326755943
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Mental Health Counselor
NPI 1942485974
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Clinical Social Worker
NPI 1932750833
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Nurse Practitioner
NPI 1801402102
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114590486
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1801331079
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1578959755
175 KIMEL PARK DR
Winston Salem, NC 27103
(336) 718-1006
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1386960201
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1437379476
175 KIMEL PARK DRIVE
Winston Salem, NC 27103
(336) 718-1006
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1447428693
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750557872
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1336167576
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Nurse Practitioner
NPI 1952067639
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1902838006
175 KIMEL PARK DR DBA WINSTON-SALEM HEALTHCARE
Winston Salem, NC 27103
(336) 718-1006
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1548231772
175 KIMEL PARK DR DBA WINSTON-SALEM HEALTHCARE
Winston Salem, NC 27103
(336) 718-1006
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1689078032
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1336650332
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 277-1800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1790731099
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOSSame address
Psychiatry
NPI 1174552079
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1477119774
175 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts MedicareSame address
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 1114649894. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Nh Forsyth Specialty Clinics.

Where is Forsyth Memorial Hospital, Inc. located?

Forsyth Memorial Hospital, Inc. is located at 175 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (704) 384-4000.

What is Forsyth Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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, 29 practice at this address and 450 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 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.