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NOVANT HEALTH SURRY MEDICAL ASSOCIATES
NPI 1295783108
Family Medicine in Mount Airy, NC

Active since May 04, 2006CLIA 34D0982204 · Accreditation
865 WESTLAKE DR, MOUNT AIRY, NC 27030(336) 719-6100(336) 719-2313 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2024, Jul 12, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Surry Medical Associates NPPES

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

NOVANT HEALTH SURRY MEDICAL ASSOCIATES (NPI 1295783108) is a healthcare organization registered as a family medicine in Mount Airy, North Carolina and active in the NPI registry since May 2006. 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

NPI1295783108
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL, INC
Location Address865 WESTLAKE DRMount Airy, NC 27030-2102
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 719-6100 · Fax (336) 719-2313
Phone(336) 719-6100
Fax(336) 719-2313
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1295783108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
865 WESTLAKE DR, Mount Airy, NC 27030
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Other Names 1

Doing Business AsNovant Health Surry Medical Associates

Other Identifiers 2

Medicaid890209KNC
OtherCA1315NC · Railroad Medicare

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, Cigna Healthcare.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 Surry Medical Associates 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 Surry Medical Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 22 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
Savannah Hodges, NP-C
Nurse Practitioner
NPI 1174162473
865 WESTLAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts MedicareSame address
Kimberly Spencer, LPC
Mental Health Counselor
NPI 1750301321
865 WESTLAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts MedicareSame address
Presley Welborn, FNP-C
Nurse Practitioner
NPI 1336968833
865 WESTLAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts MedicareSame address
Mallory Grose, ANP-C
Nurse Practitioner
NPI 1093089575
694 RIVERSIDE DR
Mount Airy, NC 27030
(336) 719-7892
✔ PECOS✔ Accepts Medicare2.2 mi
Nathan Mcgeathy, FNP
Nurse Practitioner
NPI 1255786273
694 RIVERSIDE DR
Mount Airy, NC 27030
(336) 719-7892
✔ PECOS✔ Accepts Medicare2.2 mi
Karin Giordano, M.D.
Medical Oncology
NPI 1356315113
1908 CAUDLE DR STE 200
Mount Airy, NC 27030
(336) 783-6935
✔ PECOS✔ Accepts Medicare2.7 mi
Susan Hines
Medical Oncology
NPI 1619947215
1908 CAUDLE DR STE 200
Mount Airy, NC 27030
(336) 783-6935
✔ PECOS✔ Accepts Medicare2.7 mi
Sheila Peterson, ARNP
Nurse Practitioner
NPI 1457561987
830 ROCKFORD ST
Mount Airy, NC 27030
(336) 719-7370
✔ PECOS✔ Accepts Medicare2.8 mi
Veronica Brady, FNP
Nurse Practitioner
NPI 1740434554
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts Medicare3.5 mi
Amy Puckett-Lawson, FNP-C
Nurse Practitioner
NPI 1134451206
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 719-0398
✔ PECOS✔ Accepts Medicare3.5 mi
Natessa Rutherford, FNP
Nurse Practitioner
NPI 1992290654
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
(336) 673-6560
✔ PECOS✔ Accepts Medicare3.5 mi
Jennifer Chapman, MD
Family Practice
NPI 1710984927
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare7.5 mi
Mark Dodd, DO
Family Practice
NPI 1184694630
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare7.5 mi
Stephanie Garcia, FNP
Nurse Practitioner
NPI 1417669037
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare7.5 mi
Darrell Garner, LCSW
Clinical Social Worker
NPI 1194795260
865 W LAKE DR
Mount Airy, NC 27030
(336) 786-7199
✔ PECOS✔ Accepts Medicare7.5 mi
Joanne Garner, FNP
Nurse Practitioner
NPI 1982037941
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare7.5 mi
Heather Hammaker, FNP
Nurse Practitioner
NPI 1952877938
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare7.5 mi
Gloria King, P-NP
Nurse Practitioner
NPI 1770556144
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS7.5 mi
Nicholas Kipreos, MD
Family Practice
NPI 1104825926
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS✔ Accepts Medicare7.5 mi
Cecil Thoppil, MD
Pediatric Medicine
NPI 1962463257
865 W LAKE DR
Mount Airy, NC 27030
(336) 719-6100
✔ PECOS7.5 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 of Accreditation 34D0982204

Novant Health Surry Medical Associates · Mt Airy, NC
Active · expires Feb 23, 2027
CLIA Number34D0982204
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorJennifer H. Chapman
Laboratory Phone(336) 719-6100
Laboratory LocationNovant Health Surry Medical Associates865 Westlake Drive, Mt Airy, NC 27030
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.

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 1295783108. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Novant Health Surry Medical Associates.

Where is Forsyth Memorial Hospital, Inc located?

Forsyth Memorial Hospital, Inc is located at 865 Westlake Dr, Mount Airy, NC 27030. The listed phone number is (336) 719-6100.

What is Forsyth Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 3 practice at this address and 22 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 34D0982204) 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 June 4, 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.