NOVANT HEALTH WALKERTOWN FAMILY MEDICINE
NPI 1366400269
Family Medicine in Walkertown, NC
About Novant Health Walkertown Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT HEALTH WALKERTOWN FAMILY MEDICINE (NPI 1366400269) is a healthcare organization registered as a family medicine in Walkertown, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 19, 2026 and lists Geoffrey K Gardner, Vp Finace, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
Group Practice 1
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 Walkertown Family Medicine 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 Walkertown Family Medicine, which bills Medicare for the services they deliver. Of these, 111 practice 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 1,202Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
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 Compliance 34D0911305
Novant Health Walkertown Family Medicine · Walkertown, 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 1366400269. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Novant Health Walkertown Family Medicine.
Where is Forsyth Memorial Hospital, Inc located?
Forsyth Memorial Hospital, Inc is located at 2800 Darrow Rd, Walkertown, NC 27051. The listed phone number is (336) 595-3699.
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, 111 practice 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 Compliance (number 34D0911305) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Forsyth Memorial Hospital, Inc was last updated on November 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 Walkertown Family Medicine · NPI 1366400269
Family Medicine organization in Walkertown, North Carolina. Organization record, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1366400269 (Entity type: Organization)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Forsyth Memorial Hospital, Inc
- **Organization subpart:** No
- **Authorized official:** Geoffrey Gardner, VP FINACE
## Practice location
- **Address:** 2800 DARROW RD, Walkertown, NC 27051-9206
- **Phone:** (336) 595-3699 · **Fax:** (336) 595-3193
## 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); 111 practice within 10 miles; [full list](https://npiprofile.com/npi/1366400269/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2013
- **Other identifiers:** Medicare PIN 2351681A (NC); Medicaid 890218L (NC); Other CA1315 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366400269) · Data from the CMS NPPES public registry.