Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Forsyth Behavioral Health Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
175 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103-6951
(336) 277-1800
(336) 277-6981
Mailing address
PO BOX 75216, CHARLOTTE, NC 28275-0216
(704) 384-9144
(704) 417-1043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89012TT
BCBS GRP ID
NC
05
—
89012TT
—
NC
Enumeration date
01/23/2008
Last updated
07/10/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up