FORSYTH MEDICAL GROUP, LLC
NPI 1902790157
Internal Medicine in Charlotte, NC

Active since June 04, 2025
10450 PARK RD STE 200, CHARLOTTE, NC 28210(704) 541-9002(704) 542-6701 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Forsyth Medical Group, Llc NPPES

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

FORSYTH MEDICAL GROUP, LLC (NPI 1902790157), doing business as Richard A. Dougherty, Md, is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since June 2025. The organization lists Jody Morris, Vp Ops And New Development, as its authorized official.

NPPES Registry Identity

NPI1902790157
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORSYTH MEDICAL GROUP, LLC
Location Address10450 PARK RD STE 200Charlotte, NC 28210-8546
Mailing Address2085 Frontis Plaza Blvd Fl 3Winston Salem, NC 27103-5614 · (336) 277-1611 · Fax (336) 277-9606
Fax(704) 542-6701
Organization SubpartNo
Authorized OfficialJody MorrisVp Ops And New Development · (919) 497-8401
Enumeration DateJune 4, 2025
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1902790157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10450 PARK RD STE 200, Charlotte, NC 28210

Other Names 1

Doing Business AsRichard A. Dougherty, Md

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, 1 practice at this address and 14 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
Internal Medicine
NPI 1629068515
10450 PARK RD STE 200
Charlotte, NC 28210
(704) 541-9002
✔ PECOSSame address
Mental Health Counselor
NPI 1184070195
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare1.9 mi
Obstetrics/Gynecology
NPI 1437597176
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare1.9 mi
Obstetrics/Gynecology
NPI 1588950729
7006 SHANNON WILLOW RD STE A
Charlotte, NC 28226
(980) 960-0526
✔ PECOS✔ Accepts Medicare1.9 mi
Otolaryngology
NPI 1083644678
8924 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 703-1080
✔ PECOS✔ Accepts Medicare5.4 mi
Otolaryngology
NPI 1790804813
8924 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 703-1080
✔ PECOS✔ Accepts Medicare5.4 mi
Otolaryngology
NPI 1245262096
8924 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 703-1080
✔ PECOS✔ Accepts Medicare5.4 mi
Internal Medicine
NPI 1295703338
1000 BLYTHE BLVD CMC ANNEX 1ST FLOOR
Charlotte, NC 28203
(704) 355-0720
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1659192128
3116 WEDDINGTON RD STE 900 PMB 2078
Matthews, NC 28105
(980) 402-5059
✔ PECOS✔ Accepts Medicare7.8 mi
Clinical Psychologist
NPI 1992381727
225 E WORTHINGTON AVE
Charlotte, NC 28203
(773) 531-8738
✔ PECOS8.0 mi
Nurse Practitioner
NPI 1184059958
1918 RANDOLPH RD SUITE 350
Charlotte, NC 28207
(704) 384-1750
✔ PECOS8.3 mi
Registered Dietitian or Nutrition Professional
NPI 1326720244
222 E BLAND ST UNIT 363
Charlotte, NC 28203
(973) 967-0418
8.4 mi
Internal Medicine
NPI 1215931894
101 E MATTHEWS STREET SUITE 200
Matthews, NC 28105
(704) 246-3936
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1699241752
434 N TRADE ST STE 104
Matthews, NC 28105
(704) 246-3936
✔ PECOS8.8 mi
Neurosurgery
NPI 1427005420
2555 COURT DR SUITE 400
Gastonia, NC 28054
(704) 864-5550
✔ PECOS20 mi
Nurse Practitioner
NPI 1396229969
2555 COURT DR STE 400
Gastonia, NC 28054
(704) 864-5550
✔ PECOS20 mi
Family Practice
NPI 1285617399
2544 COURT DR SUITE D
Gastonia, NC 28054
(704) 853-3314
✔ PECOS✔ Accepts Medicare20 mi
Physical Therapist in Private Practice
NPI 1275271629
13620 REESE BLVD E STE 130
Huntersville, NC 28078
(704) 274-5795
✔ Accepts Medicare21 mi
Qualified Audiologist
NPI 1346370988
1107 REYNOLDS ST
Monroe, NC 28112
(704) 289-8220
✔ Accepts Medicare21 mi
Pulmonary Disease
NPI 1083639439
16507 NORTHCROSS DR SUITE F
Huntersville, NC 28078
(704) 248-0000
✔ PECOS✔ Accepts Medicare24 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 1902790157. It was assigned to this organization in the NPPES registry on June 4, 2025. The provider is doing business as Richard A. Dougherty, MD.

Where is Forsyth Medical Group, LLC located?

Forsyth Medical Group, LLC is located at 10450 Park Rd Ste 200, Charlotte, NC 28210. The listed phone number is (704) 541-9002.

What is Forsyth Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 1 practice at this address and 14 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 and Cigna Healthcare 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 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.