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FORSYTH PLASTIC SURGICAL ASSOC PA
NPI 1811090475
Plastic Surgery in Winston Salem, NC

Active since September 07, 2006
2901 MAPLEWOOD AVE, WINSTON SALEM, NC 27103(336) 765-8620(336) 768-6236 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 lists John Anduson Fagg, President, as its authorized official.

NPPES Registry Identity

NPI1811090475
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameFORSYTH PLASTIC SURGICAL ASSOC PA
Location Address2901 MAPLEWOOD AVEWinston Salem, NC 27103
Mailing Address2901 Maplewood AveWinston Salem, NC 27103 · (336) 765-8620 · Fax (336) 768-6236
Phone(336) 765-8620
Fax(336) 768-6236
Organization SubpartNo
Authorized OfficialJohn Anduson FaggPresident · (336) 765-8620
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811090475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in NC · 20000119979✔ Licensed in NC · 200001225739✔ Licensed in NC · 200001205450
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2901 MAPLEWOOD AVE, Winston Salem, NC 27103
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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, NC
Expired · Aug 6, 2026
CLIA Number34D2189972
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorSusan F. Cox
Laboratory Phone(336) 765-8620
Laboratory LocationForsyth Plastic Surgery Associates2901 Maplewood Avenue, Winston Salem, NC 27103
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

PLASTIC SURGERY CENTER OF NC INC
Surgery (Plastic and Reconstructive Surgery)
2901 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-8620
DR. GEORGE ASBURY LAWSON III MD
Plastic Surgery
2901 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-8620
DR. ANDREW MARK SCHNEIDER M
Plastic Surgery
2901 MAPLEWOOD AVE
WINSTON-SALEM, NC 27103
Forsyth County (336) 765-8620
DR. JOHN ANDERSON FAGG MD
Plastic Surgery
2901 MAPLEWOOD AVE
WINSTON-SALEM, NC 27103
Forsyth County (336) 765-8620
DR. GILSON JOHN KINGMAN MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2901 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-8620
DR. LESLIE GRACE BRANCH M.D.
Surgery (Plastic and Reconstructive Surgery)
2901 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-8620

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 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.

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 5 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.