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NOVANT HEALTH ADULT PRIMARY CARE MILLER STREET
NPI 1265143473
Internal Medicine in Winston Salem, NC

Active since December 08, 2022CLIA 34D0669008 · Accreditation
50 MILLER ST STE G, WINSTON SALEM, NC 27104(336) 718-1000(336) 718-1065 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Dec 8, 2022 (2 updates tracked since 2022).

About Novant Health Adult Primary Care Miller Street NPPES

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

NOVANT HEALTH ADULT PRIMARY CARE MILLER STREET (NPI 1265143473) is a healthcare organization registered as an internal medicine in Winston Salem, North Carolina and active in the NPI registry since December 2022. The organization holds an CLIA Accreditation certificate valid through February 23, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1265143473
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL, INC.
Location Address50 MILLER ST STE GWinston Salem, NC 27104-4206
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 718-1000
Fax(336) 718-1065
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateDecember 8, 2022
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1265143473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
50 MILLER ST STE G, Winston Salem, NC 27104
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Other Names 1

Doing Business AsNovant Health Adult Primary Care Miller Street

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 Blue Cross and Blue Shield of NC.Insurance ›

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 of Accreditation 34D0669008

Novant Health Adult Primary Care Miller Street · Winston-Salem, NC
Active · expires Feb 23, 2027
CLIA Number34D0669008
Laboratory TypeOther
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorAnthony J. Kummer
Laboratory Phone(336) 718-1000
Laboratory LocationNovant Health Adult Primary Care Miller Street50 Miller St Ste G, Winston-Salem, NC 27104
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

MRS. REBECCA HOWELL RATLIFF FNP
Nurse Practitioner
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
KAREN ANNETTE GILLIAM NP
Nurse Practitioner
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
ANTHONY JOSEPH KUMMER MD
Internal Medicine
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
BETSY M. ENGLISH MD
Internal Medicine
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
MARIAN VIRGINIA HAZY CRNP
Nurse Practitioner
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
MARTIN JAMES MURPHY MD
Internal Medicine
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
ALEXANDRA GILMORE SHEPPARD PA-C
Physician Assistant
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000
DR. ANITHA LOKESH M.D.
Family Medicine
50 MILLER ST STE G
WINSTON SALEM, NC 27104
Forsyth County (336) 718-1000

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 1265143473. It was assigned to this organization in the NPPES registry on December 8, 2022. The provider is doing business as Novant Health Adult Primary Care Miller Street.

Where is Forsyth Memorial Hospital, Inc. located?

Forsyth Memorial Hospital, Inc. is located at 50 Miller St Ste G, Winston Salem, NC 27104. The listed phone number is (336) 718-1000.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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

Yes. A Certificate of Accreditation (number 34D0669008) is associated with this NPI, valid through February 23, 2027. 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 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 January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.