NOVANT HEALTH KERNERSVILLE FAMILY MEDICINE
NPI 1679531495
Family Medicine in Kernersville, NC

Active since May 02, 2006CLIA 34D0981573 · Accreditation
291 BROAD ST, KERNERSVILLE, NC 27284(336) 993-8181(336) 996-9539 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Aug 18, 2021 (2 updates tracked since 2021).

About Novant Health Kernersville Family Medicine NPPES

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

NOVANT HEALTH KERNERSVILLE FAMILY MEDICINE (NPI 1679531495) is a healthcare organization registered as a family medicine in Kernersville, 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

NPI1679531495
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL, INC
Location Address291 BROAD STKernersville, NC 27284-2932
Mailing AddressPo Box 751803Charlotte, NC 28260-2362 · (336) 993-8181 · Fax (336) 996-9539
Fax(336) 996-9539
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1679531495 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.
291 BROAD ST, Kernersville, NC 27284

Other Names 1

Doing Business AsNovant Health Kernersville Family Medicine

Other Identifiers 2

OtherCA1315NC · Railroad Medicare
Medicaid7901969NC

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

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 Kernersville 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.

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 Kernersville Family Medicine, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 53 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
Family Practice
NPI 1750369724
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992735013
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467066985
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1861629511
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821416223
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427672682
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255172862
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619993946
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033986336
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487117461
291 BROAD ST
Kernersville, NC 27284
(336) 993-8181
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1821520610
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1598106171
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1003142779
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1922038322
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1639603095
280 BROAD ST STE E
Kernersville, NC 27284
(336) 277-6050
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1255481180
500 PINEVIEW DR SUITE 101
Kernersville, NC 27284
(336) 992-1351
✔ PECOS✔ Accepts Medicare0.3 mi
Endocrinology
NPI 1780034850
500 PINEVIEW DR STE 101
Kernersville, NC 27284
(336) 992-1351
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1144699430
500 PINEVIEW DR STE 205
Kernersville, NC 27284
(336) 329-3295
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1437535499
500 PINEVIEW DR STE 205
Kernersville, NC 27284
(336) 329-3295
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1447238662
500 PINEVIEW DR STE 101
Kernersville, NC 27284
(336) 992-1351
✔ PECOS0.3 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 34D0981573

Novant Health Kernersville Family Medicine · Kernersville, NC
Active · expires Feb 23, 2027
CLIA Number34D0981573
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorAaron M. Boals
Laboratory Phone(336) 993-8181
Laboratory LocationNovant Health Kernersville Family Medicine291 Broad Street, Kernersville, NC 27284
CLIA data matches this NPI record on: Address 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 1679531495. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Novant Health Kernersville Family Medicine.

Where is Forsyth Memorial Hospital, Inc located?

Forsyth Memorial Hospital, Inc is located at 291 Broad St, Kernersville, NC 27284. The listed phone number is (336) 993-8181.

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, 10 practice at this address and 53 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 34D0981573) 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 July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.