NOVANT HEALTH CARDIOLOGY KERNERSVILLE
NPI 1205119914
Internal Medicine - Cardiovascular Disease in Kernersville, NC

NPI Status: Active since September 20, 2011

Contact Information

1710 KERNERSVILLE MEDICAL PKWY
SUITE 205
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 996-7076
Fax: (336) 996-7832

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 34D1101112
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 06-18-2027

About NOVANT HEALTH CARDIOLOGY KERNERSVILLE

This page provides the complete NPI Profile along with additional information for Novant Health Cardiology Kernersville, an internist established in Kernersville, North Carolina operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1205119914 assigned on September 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Novant Health Cardiology Kernersville operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Novant Health Cardiology Kernersville. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)

NPI
1205119914
Provider Legal Name
FORSYTH MEMORIAL HOSPITAL INC
Other Organization Name
NOVANT HEALTH CARDIOLOGY KERNERSVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1710 KERNERSVILLE MEDICAL PKWY SUITE 205 KERNERSVILLE, NC 27284
Location Phone
(336) 996-7076
Location Fax
(336) 996-7832
Mailing Address
PO BOX 751803 CHARLOTTE, NC 28275
Mailing Phone
(336) 996-7076
Mailing Fax
(336) 996-7832
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2011
Last Update Date
07-10-2023
Code Navigator

An internist like Novant Health Cardiology Kernersville is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEEA JEANINE WALTON

Authorized Official Title
RCS MANAGER
Authorized Official Phone
(704) 316-6081

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1101112
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
June 19, 2025
Certificate Expiration Date
June 18, 2027
Laboratory Director
NATHAN CUKA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Cardiology Kernersville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NOVANT HEALTH CARDIOLOGY KERNERSVILLE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205119914, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 1 + 1 + 8 + 9 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205119914.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
1710 KERNERSVILLE MEDICAL PKWY, STE 220
KERNERSVILLE, NC 27284
Dietitian, Registered
1710 KERNERSVILLE MEDICAL PKWY, SUITE 210
KERNERSVILLE, NC 27284
Surgery
1710 KERNERSVILLE MEDICAL PKWY, SUITE 220
KERNERSVILLE, NC 27284
Colon & Rectal Surgery
1710 KERNERSVILLE MEDICAL PKWY, SUITE 202
KERNERSVILLE, NC 27284
Social Worker (Clinical)
1710 KERNERSVILLE MEDICAL PKWY, SUITE 210
KERNERSVILLE, NC 27284
Clinical Medical Laboratory
1710 KERNERSVILLE MEDICAL PKWY, SUITE 116
KERNERSVILLE, NC 27284
Dietitian, Registered
1710 KERNERSVILLE MEDICAL PKWY, SUITE 210
KERNERSVILLE, NC 27284
Counselor (Professional)
1710 KERNERSVILLE MEDICAL PKWY, SUITE 101
KERNERSVILLE, NC 27284
Dietitian, Registered
1710 KERNERSVILLE MEDICAL PKWY, SUITE 210
KERNERSVILLE, NC 27284
Surgery
1710 KERNERSVILLE MEDICAL PKWY, SUITE 202
KERNERSVILLE, NC 27284
Dietitian, Registered
1710 KERNERSVILLE MEDICAL PKWY, SUITE 210
KERNERSVILLE, NC 27284

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205119914, enumerated as an "organization" on September 20, 2011.

The provider is located at 1710 KERNERSVILLE MEDICAL PKWY SUITE 205 KERNERSVILLE, NC 27284 and the phone number is (336) 996-7076.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.