FORSYTH MEDICAL GROUP LLC
NPI 1710866405
Otolaryngology in Monroe, NC

Active since August 28, 2025
1994 WELLNESS BLVD STE 210, MONROE, NC 28110(704) 703-1080(704) 703-1090 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Forsyth Medical Group Llc NPPES

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

FORSYTH MEDICAL GROUP LLC (NPI 1710866405), doing business as Queen City Ear Nose And Throat, is a healthcare organization registered as an otolaryngology in Monroe, North Carolina and active in the NPI registry since August 2025. The organization lists Jody Morris, Vp Ops And New Development, as its authorized official.

NPPES Registry Identity

NPI1710866405
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameFORSYTH MEDICAL GROUP LLC
Location Address1994 WELLNESS BLVD STE 210Monroe, NC 28110-7768
Mailing Address2085 Frontis Plaza Blvd Fl 3Winston Salem, NC 27103-5614 · (336) 277-1611
Fax(704) 703-1090
Organization SubpartNo
Authorized OfficialJody MorrisVp Ops And New Development · (919) 497-8401
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1710866405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1994 WELLNESS BLVD STE 210, Monroe, NC 28110

Other Names 1

Doing Business AsQueen City Ear Nose And Throat

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Forsyth Medical Group Llc 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 IDO20031201000123Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Forsyth Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner15
Physical Therapist in Private Practice10
Obstetrics/Gynecology6
Internal Medicine4
Otolaryngology3
Pulmonary Disease2
Qualified Audiologist2
Vascular Surgery2
7 other specialties7

Nearest to this location (20)

See all 51
Qualified Audiologist
NPI 1346370988
1107 REYNOLDS ST
Monroe, NC 28112
(704) 289-8220
✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1659192128
3116 WEDDINGTON RD STE 900 PMB 2078
Matthews, NC 28105
(980) 402-5059
✔ PECOS✔ Accepts Medicare9.6 mi
Internal Medicine
NPI 1215931894
101 E MATTHEWS STREET SUITE 200
Matthews, NC 28105
(704) 246-3936
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1699241752
434 N TRADE ST STE 104
Matthews, NC 28105
(704) 246-3936
✔ PECOS10 mi
Otolaryngology
NPI 1083644678
8924 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 703-1080
✔ PECOS✔ Accepts Medicare13 mi
Otolaryngology
NPI 1790804813
8924 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 703-1080
✔ PECOS✔ Accepts Medicare13 mi
Otolaryngology
NPI 1245262096
8924 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 703-1080
✔ PECOS✔ Accepts Medicare13 mi
Obstetrics/Gynecology
NPI 1437597176
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1588950729
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare15 mi
Mental Health Counselor
NPI 1184070195
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1629068515
10450 PARK RD STE 200
Charlotte, NC 28210
(704) 541-9002
✔ PECOS17 mi
Physical Therapist in Private Practice
NPI 1629846738
1800 MAIN ST W
Locust, NC 28097
(704) 781-4090
✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1184059958
1918 RANDOLPH RD SUITE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS19 mi
Internal Medicine
NPI 1295703338
1000 BLYTHE BLVD CMC ANNEX 1ST FLOOR
Charlotte, NC 28203
(704) 355-0720
✔ PECOS✔ Accepts Medicare19 mi
Clinical Psychologist
NPI 1992381727
225 E WORTHINGTON AVE
Charlotte, NC 28203
(773) 531-8738
✔ PECOS20 mi
Registered Dietitian or Nutrition Professional
NPI 1326720244
222 E BLAND ST UNIT 363
Charlotte, NC 28203
(973) 967-0418
20 mi
Neurology
NPI 1801997259
2323 CONCORD LAKE RD
Concord, NC 28025
(704) 707-4120
✔ PECOS✔ Accepts Medicare30 mi
Physical Therapist in Private Practice
NPI 1275271629
13620 REESE BLVD E STE 130
Huntersville, NC 28078
(704) 274-5795
✔ Accepts Medicare30 mi
Pulmonary Disease
NPI 1083639439
16507 NORTHCROSS DR SUITE F
Huntersville, NC 28078
(704) 248-0000
✔ PECOS✔ Accepts Medicare33 mi
Neurosurgery
NPI 1427005420
2555 COURT DR SUITE 400
Gastonia, NC 28054
(704) 864-5550
✔ PECOS36 mi
See all 51 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Group LLC's NPI number?

The NPI number for Forsyth Medical Group LLC is 1710866405. It was assigned to this organization in the NPPES registry on August 28, 2025. The provider is doing business as Queen City Ear Nose and Throat.

Where is Forsyth Medical Group LLC located?

Forsyth Medical Group LLC is located at 1994 Wellness Blvd Ste 210, Monroe, NC 28110. The listed phone number is (704) 703-1080.

What is Forsyth Medical Group LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Forsyth Medical Group LLC enrolled in Medicare?

Yes. Forsyth Medical Group LLC is registered in the Medicare PECOS enrollment system.

When is Forsyth Medical Group LLC'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 Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 15 Medicare specialties reassign their Medicare billing to Forsyth Medical Group LLC. 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 Nurse Practitioner (15), Physical Therapist in Private Practice (10) and Obstetrics/Gynecology (6). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Forsyth Medical Group LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Forsyth Medical Group LLC 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 Medical Group LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.