DR. FRANKLIN LEE TOLBERT MD
NPI 1457311003
Family Medicine in Advance, NC
About Dr. Franklin Lee Tolbert Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FRANKLIN LEE TOLBERT MD (NPI 1457311003) is an individual family medicine provider in Advance, North Carolina, licensed in North Carolina (28359) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Franklin Lee Tolbert Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Franklin Tolbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCNorth Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Franklin Tolbert's NPI number?
The NPI number for Franklin Tolbert is 1457311003. It was assigned to this individual provider in the NPPES registry on March 27, 2006.
Where is Franklin Tolbert located?
Franklin Tolbert practices at 147 Peachtree Ln, Advance, NC 27006. The listed phone number is (336) 716-2255.
What is Franklin Tolbert's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Franklin Tolbert enrolled in Medicare?
Yes. Franklin Tolbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Franklin Tolbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Franklin Tolbert reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The 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 Franklin Tolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Franklin Tolbert accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Franklin Tolbert 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.
Is Franklin Tolbert affiliated with any hospitals?
According to CMS data, Franklin Tolbert is affiliated with Novant Health Forsyth Medical Center and North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Franklin Tolbert was last updated on March 5, 2014. 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.
# Dr. Franklin Lee Tolbert, MD · NPI 1457311003
Family Medicine physician in Advance, North Carolina. Individual provider, active in the CMS NPPES registry since March 27, 2006.
## Identity
- **NPI:** 1457311003 (Entity type: Individual)
- **Enumerated:** March 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 28359 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 147 PEACHTREE LN, Advance, NC 27006-6753
- **Phone:** (336) 716-2255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 1983
## Record status
- **NPPES last updated:** March 5, 2014
- **Other identifiers:** Other 83575 (NC); Other 916 (NC); Medicaid 7983575 (NC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1457311003) · Data from the CMS NPPES public registry.