NOVANT HEALTH ADULT PRIMARY CARE MILLER STREET
NPI 1265143473
Internal Medicine in Winston Salem, NC
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
Specialties & Licenses
Other Names 1
Group Practice 1
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 Adult Primary Care Miller Street 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.
Clinicians Billing Medicare Through This Organization
1,202Medicare enrollment records show 1,202 clinicians reassign Medicare billing to Novant Health Adult Primary Care Miller Street, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 450 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 34
Nearest to this location (20)
See all 1,202Source: 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 of Accreditation 34D0669008
Novant Health Adult Primary Care Miller Street · Winston-Salem, NCFrequently 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.
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, 7 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 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 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 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.
# Novant Health Adult Primary Care Miller Street · NPI 1265143473
Internal Medicine organization in Winston Salem, North Carolina. Organization record, active in the CMS NPPES registry since December 8, 2022.
## Identity
- **NPI:** 1265143473 (Entity type: Organization)
- **Enumerated:** December 8, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Forsyth Memorial Hospital, Inc.
- **Organization subpart:** No
- **Authorized official:** Leea Walton, RCS MANAGER
## Practice location
- **Address:** 50 MILLER ST STE G, Winston Salem, NC 27104-4206
- **Phone:** (336) 718-1000 · **Fax:** (336) 718-1065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,202 clinicians in 34 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (543), Nurse Practitioner (202), Family Practice (69); 7 practice at this address and 450 within 10 miles; [full list](https://npiprofile.com/npi/1265143473/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265143473) · Data from the CMS NPPES public registry.