NOVANT HEALTH FORSYTH BRAIN AND SPINE SURGERY
NPI 1497080006
Neurological Surgery in Winston Salem, NC

NPI Status: Active since October 15, 2009

Contact Information

190 KIMEL PARK DR STE 155
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-6637
Fax: (336) 765-6964

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  • Organization
  • Neurological Surgery
  • CLIA Number: 34D0885571
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-19-2027

About NOVANT HEALTH FORSYTH BRAIN AND SPINE SURGERY

This page provides the complete NPI Profile along with additional information for Novant Health Forsyth Brain And Spine Surgery, a provider established in Winston Salem, North Carolina operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1497080006 assigned on October 2009. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Novant Health Forsyth Brain And Spine Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Novant Health Forsyth Brain And Spine Surgery. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)

NPI
1497080006
Provider Legal Name
NOVANT HEALTH MEDICAL GROUP, LLC
Other Organization Name
NOVANT HEALTH FORSYTH BRAIN AND SPINE SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
190 KIMEL PARK DR STE 155 WINSTON SALEM, NC 27103
Location Phone
(336) 765-6637
Location Fax
(336) 765-6964
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Mailing Phone
(336) 765-6637
Mailing Fax
(336) 765-6964
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2009
Last Update Date
06-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEEA JEANINE WALTON

Authorized Official Title
RCS MANAGER
Authorized Official Phone
(704) 316-6081

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0885571
Facility Type
Hospital
Certificate Effective Date
November 20, 2025
Certificate Expiration Date
November 19, 2027
Laboratory Director
NATHAN S. CUKA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Novant Health Forsyth Brain And Spine Surgery in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497080006, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 0 + 8 + 0 + 0 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497080006.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Orthopaedic Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Nurse Practitioner
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Physician Assistant
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497080006, enumerated as an "organization" on October 15, 2009.

The provider is located at 190 KIMEL PARK DR STE 155 WINSTON SALEM, NC 27103 and the phone number is (336) 765-6637.

Neurological Surgery with taxonomy code 207T00000X.