NOVANT HEALTH UROLOGY
NPI 1235629890
Urology in Winston Salem, NC

Active since May 18, 2018CLIA 34D0237550 · Microscopy
140 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 245-2100(336) 768-7782 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Aug 18, 2021, May 18, 2018 (3 updates tracked since 2018).

About Novant Health Urology NPPES

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

NOVANT HEALTH UROLOGY (NPI 1235629890) is a healthcare organization registered as an urology in Winston Salem, North Carolina and active in the NPI registry since May 2018. The organization holds a CLIA Microscopy certificate valid through April 30, 2028 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1235629890
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL, INC
Location Address140 KIMEL PARK DR STE 100Winston Salem, NC 27103-6160
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Fax(336) 768-7782
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 18, 2018
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1235629890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
140 KIMEL PARK DR STE 100, Winston Salem, NC 27103

Other Names 1

Doing Business AsNovant Health Urology

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)

Novant Health Urology 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 Urology, which bills Medicare for the services they deliver. Of these, 12 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
Nurse Practitioner
NPI 1770711517
140 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 245-2100
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1558897488
140 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 245-2100
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1891828224
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 718-7250
✔ PECOSSame address
Clinical Social Worker
NPI 1720501612
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 718-7250
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1043945744
140 KIMEL PARK DR STE 101
Winston Salem, NC 27103
(336) 718-7280
✔ PECOSSame address
Psychiatry
NPI 1821380833
140 KIMEL PARK DR STE 101
Winston Salem, NC 27103
(336) 718-7280
✔ PECOSSame address
Urology
NPI 1235470261
140 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 245-2100
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1306473012
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 718-7250
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1568994499
140 KIMEL PARK DR STE 100
Winston Salem, NC 27103
(336) 245-2100
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1841679776
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 718-7250
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1003163213
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 718-7250
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1144364712
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 718-7250
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720466840
145 KIMEL PARK DR SUITE 120
Winston Salem, NC 27103
(336) 768-3212
✔ Accepts Medicare0.1 mi
Neurology
NPI 1629283908
145 KIMEL PARK DR SUITE 100
Winston Salem, NC 27103
(336) 768-6347
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1588221857
3333 BROOKVIEW HILLS BLVD STE 204
Winston Salem, NC 27103
(336) 774-3740
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1255923629
3333 BROOKVIEW HILLS BLVD STE 204
Winston Salem, NC 27103
(336) 774-3740
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1518928795
3333 BROOKVIEW HILLS BLVD STE 204
Winston Salem, NC 27103
(336) 774-3740
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1023104981
755 HIGHLAND OAKS DR STE 201 DBA FORSYTH ENDOCRINE CONSULTANTS
Winston Salem, NC 27103
(336) 765-0020
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1144224890
3333 BROOKVIEW HILLS BLVD STE 207
Winston-salem, NC 27103
(336) 765-5250
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1639342835
2010 BALDWIN LN
Winston Salem, NC 27103
(336) 277-1717
✔ PECOS0.2 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0237550

Novant Health Urology · Winston-Salem, NC
Active · expires Apr 30, 2028
CLIA Number34D0237550
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorOliver Benton IV
Laboratory Phone(336) 245-2100
Laboratory LocationNovant Health Urology140 Kimel Park Drive, Suite 100, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1235629890. It was assigned to this organization in the NPPES registry on May 18, 2018. The provider is doing business as Novant Health Urology.

Where is Forsyth Memorial Hospital, Inc located?

Forsyth Memorial Hospital, Inc is located at 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 245-2100.

What is Forsyth Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 12 practice at this address and 450 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forsyth Memorial Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0237550) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forsyth Memorial Hospital, Inc accept?

Health plans from Blue Cross and Blue Shield of NC and 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 12, 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.