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NOVANT HEALTH CLEMMONS FAMILY MEDICINE
NPI 1780642629
Family Medicine in Clemmons, NC

Active since May 02, 2006
6301 STADIUM DR, CLEMMONS, NC 27012(336) 766-6473(336) 766-8909 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Novant Health Clemmons Family Medicine NPPES

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

NOVANT HEALTH CLEMMONS FAMILY MEDICINE (NPI 1780642629) is a healthcare organization registered as a family medicine in Clemmons, North Carolina and active in the NPI registry since May 2006. The organization lists Shala Davis, Rcs Mgr, as its authorized official.

NPPES Registry Identity

NPI1780642629
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH MEMORIAL HOSPITAL INC
Location Address6301 STADIUM DRClemmons, NC 27012-8766
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (704) 384-9144 · Fax (704) 417-1043
Phone(336) 766-6473
Fax(336) 766-8909
Organization SubpartNo
Authorized OfficialShala DavisRcs Mgr · (704) 303-7517
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1780642629 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.
6301 STADIUM DR, Clemmons, NC 27012
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Other Names 1

Doing Business AsNovant Health Clemmons Family Medicine

Other Identifiers 4

Other106NC · Blue Medicare
OtherCA1315NC · Railroad Medicare
Other015AANC · Bluecross Blueshield
Medicaid89015AANC

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

Other Providers at the Same Location NPPES 14

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

KIRK A. TURNER, DDS, PA
Dentist (General Practice)
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-9111
DR. KIRK A TURNER DDS
Dentist (General Practice)
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-9111
TERRY MICHAEL DEAKLE PA
Physician Assistant
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
CHRISTOPHER ANDREW MADDEN M.D.
Internal Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
DR. ALEXANDER ROWAN CRAVER D.D.S.
Dentist
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-9111
DR. CARMEN TABRIELLE ROBINSON M.D.
Family Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
HALEY TRIVETTE GRIMM FNP
Nurse Practitioner
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 428-6630
DEBORAH H POLLOCK MD
Family Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473

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 1780642629. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Novant Health Clemmons Family Medicine.

Where is Forsyth Memorial Hospital Inc located?

Forsyth Memorial Hospital Inc is located at 6301 Stadium Dr, Clemmons, NC 27012. The listed phone number is (336) 766-6473.

What is Forsyth Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Forsyth Memorial Hospital Inc was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.