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NOVANT HEALTH WALKERTOWN FAMILY MEDICINE
NPI 1366400269
Family Medicine in Walkertown, NC

Active since May 02, 2006CLIA 34D0911305 · Certificate of Compliance
2800 DARROW RD, WALKERTOWN, NC 27051(336) 595-3699(336) 595-3193 Get Directions Write a Review

NPPES record last updated: November 29, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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

NPI1366400269
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL, INC
Location Address2800 DARROW RDWalkertown, NC 27051-9206
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 595-3699 · Fax (336) 595-3193
Phone(336) 595-3699
Fax(336) 595-3193
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Finace · (704) 384-9144
Enumeration DateMay 2, 2006
Last NPPES UpdateNovember 29, 2013
✔ NPI 1366400269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2800 DARROW RD, Walkertown, NC 27051
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Other Names 1

Doing Business AsNovant Health Walkertown Family Medicine

Other Identifiers 3

Medicare PIN2351681ANC
Medicaid890218LNC
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

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, NC
Active · expires Dec 19, 2026
CLIA Number34D0911305
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorAshley M. Perrott
Laboratory Phone(336) 595-3699
Laboratory LocationNovant Health Walkertown Family Medicine2800 Darrow Road, Walkertown, NC 27051
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

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

MISTY ANN BUCHANAN PA
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
JARED WYLLYS HARWOOD PA-C
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
ANN Y COLLINS PA-C
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
MATTHIAS ZIMMERMANN PA
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
EMILY ANNE ANASTASI PA-C
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
MILENA MALDWIN LUEBKE PA-C
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699
RYAN JAMES CLAYTON
Physician Assistant
2800 DARROW RD
WALKERTOWN, NC 27051
Forsyth County (336) 595-3699

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 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.

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.