FORSYTH PLASTIC SURGICAL ASSOC PA
NPI 1811090475
Plastic Surgery in Winston Salem, NC
About Forsyth Plastic Surgical Assoc Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORSYTH PLASTIC SURGICAL ASSOC PA (NPI 1811090475) is a healthcare organization registered as a plastic surgery in Winston Salem, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 6, 2028 and lists John Anduson Fagg, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Forsyth Plastic Surgical Assoc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Forsyth Plastic Surgical Assoc PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Waiver 34D2189972
Forsyth Plastic Surgery Associates · Winston Salem, NCFrequently 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 Plastic Surgical Assoc PA's NPI number?
The NPI number for Forsyth Plastic Surgical Assoc PA is 1811090475. It was assigned to this organization in the NPPES registry on September 7, 2006.
Where is Forsyth Plastic Surgical Assoc PA located?
Forsyth Plastic Surgical Assoc PA is located at 2901 Maplewood Ave, Winston Salem, NC 27103. The listed phone number is (336) 765-8620.
What is Forsyth Plastic Surgical Assoc PA's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Forsyth Plastic Surgical Assoc PA enrolled in Medicare?
Yes. Forsyth Plastic Surgical Assoc PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forsyth Plastic Surgical Assoc PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Forsyth Plastic Surgical Assoc PA. 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Forsyth Plastic Surgical Assoc PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2189972) is associated with this NPI, valid through August 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Forsyth Plastic Surgical Assoc PA accept?
Health plans from Blue Cross and Blue Shield of NC list Forsyth Plastic Surgical Assoc PA 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 Plastic Surgical Assoc PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Forsyth Plastic Surgical Assoc Pa · NPI 1811090475
Plastic Surgery organization in Winston Salem, North Carolina. Organization record, active in the CMS NPPES registry since September 7, 2006.
## Identity
- **NPI:** 1811090475 (Entity type: Organization)
- **Enumerated:** September 7, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** John Fagg, PRESIDENT
## Practice location
- **Address:** 2901 MAPLEWOOD AVE, Winston Salem, NC 27103
- **Phone:** (336) 765-8620 · **Fax:** (336) 768-6236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Plastic and Reconstructive Surgery) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811090475) · Data from the CMS NPPES public registry.