1. Home
  2. Directory
  3. North Carolina
  4. High Point
  5. Internal Medicine
  6. NPI Profile

WAKE FOREST HEALTH NETWORK LLC
NPI 1003150798
Internal Medicine - Pulmonary Disease in High Point, NC

Active since November 19, 2012CLIA 34D2092195 · Waiver
4515 PREMIER DR STE 404, HIGH POINT, NC 27265(336) 802-2094(336) 802-2675 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2021, May 7, 2021 (2 updates tracked since 2021).

About Wake Forest Health Network Llc NPPES

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

WAKE FOREST HEALTH NETWORK LLC (NPI 1003150798), doing business as Atrium Health Wake Forest Baptist Pulmonology - Premier, is a healthcare organization registered as a pulmonary disease in High Point, North Carolina and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Craig Michael Greven, Sr Vp Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1003150798
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameWAKE FOREST HEALTH NETWORK LLC
Location Address4515 PREMIER DR STE 404High Point, NC 27265-8356
Mailing Address4515 Premier Dr Ste 404High Point, NC 27265-8356 · (336) 802-2094 · Fax (336) 802-2675
Phone(336) 802-2094
Fax(336) 802-2675
Organization SubpartNo
Authorized OfficialCraig Michael GrevenSr Vp Clinical Operations · (336) 716-1331
Enumeration DateNovember 19, 2012
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1003150798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4515 PREMIER DR STE 404, High Point, NC 27265
Open in Google Maps ↗

Other Names 1

Doing Business AsAtrium Health Wake Forest Baptist Pulmonology - Premier

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

Wake Forest Health Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

582

Medicare enrollment records show 582 clinicians reassign Medicare billing to Wake Forest Health Network LLC, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 210 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Diagnostic Radiology141
Nurse Practitioner98
Family Practice67
Internal Medicine43
Pediatric Medicine24
Hospitalist21
Neurology17
Obstetrics/Gynecology16
34 other specialties155

Nearest to this location (20)

See all 582
Mandi Beasley, FNP-BC
Nurse Practitioner
NPI 1881342384
4515 PREMIER DR STE 204
High Point, NC 27265
(336) 802-2075
✔ PECOS✔ Accepts MedicareSame address
Rita Brown, NP-C
Nurse Practitioner
NPI 1811367899
4515 PREMIER DR STE 403
High Point, NC 27265
(368) 022-9303
✔ PECOS✔ Accepts MedicareSame address
John Carter, MD
Family Practice
NPI 1700348547
4515 PREMIER DR STE 201
High Point, NC 27265
(336) 802-2610
✔ PECOS✔ Accepts MedicareSame address
Anya Dabrusco, M.D.
Pediatric Medicine
NPI 1023549979
4515 PREMIER DR STE 203
High Point, NC 27265
(336) 802-2200
✔ PECOSSame address
Jennifer Gagne, PHD
Clinical Psychologist
NPI 1033420229
4515 PREMIER DR STE 402A
High Point, NC 27265
(336) 702-1255
✔ PECOSSame address
Ilona Goukassian, D.O.
Endocrinology
NPI 1952762965
4515 PREMIER DR STE 401
High Point, NC 27265
(336) 802-2240
✔ PECOS✔ Accepts MedicareSame address
Bobbie Harmon, RD
Registered Dietitian or Nutrition Professional
NPI 1861909459
4515 PREMIER DR STE 401
High Point, NC 27265
(336) 802-2240
✔ Accepts MedicareSame address
Allison Johns
Endocrinology
NPI 1598129918
4515 PREMIER DR STE 401
High Point, NC 27265
(336) 802-2240
✔ PECOS✔ Accepts MedicareSame address
Leigh Johnson, PNP
Nurse Practitioner
NPI 1336689900
4515 PREMIER DR STE 203
High Point, NC 27265
(336) 802-2200
✔ PECOSSame address
Rachel Johnson, MD
Pediatric Medicine
NPI 1184120321
4515 PREMIER DR STE 203
High Point, NC 27265
(336) 802-2200
✔ PECOSSame address
Michael Kalish, MD
Family Practice
NPI 1073533246
4515 PREMIER DR SUITE 201
High Point, NC 27265
(336) 802-2610
✔ PECOS✔ Accepts MedicareSame address
Pardeep Khatri, MD
Hospitalist
NPI 1164781936
4515 PREMIER DR STE 201
High Point, NC 27265
(336) 716-2255
✔ PECOS✔ Accepts MedicareSame address
Brittany Martin, MD
Pediatric Medicine
NPI 1558882613
4515 PREMIER DR STE 203
High Point, NC 27265
(336) 802-2200
✔ PECOSSame address
David Moore, MD
Otolaryngology
NPI 1649298936
4515 PREMIER DR STE 404
High Point, NC 27265
(336) 802-2085
✔ PECOS✔ Accepts MedicareSame address
Ikechukwu Nwobu
Nephrology
NPI 1366645848
4515 PREMIER DR STE 403
High Point, NC 27265
(336) 802-2930
✔ PECOS✔ Accepts MedicareSame address
Kelly O Laughlin, MT-BC, PSYD
Clinical Psychologist
NPI 1669774618
4515 PREMIER DR STE 402A
High Point, NC 27265
(336) 702-1255
✔ PECOSSame address
Edwin Silva Zapata, M.D.
Family Practice
NPI 1760896518
4515 PREMIER DR STE 204
High Point, NC 27265
(336) 802-2075
✔ PECOS✔ Accepts MedicareSame address
Ryan Trimble, MD
Nephrology
NPI 1689202715
4515 PREMIER DR STE 403
High Point, NC 27265
(336) 802-2930
✔ PECOSSame address
Yun Wang
Internal Medicine
NPI 1871947028
4515 PREMIER DR STE 204
High Point, NC 27265
(336) 802-2075
✔ PECOS✔ Accepts MedicareSame address
Lafayette Smith, MD
Internal Medicine
NPI 1205860749
4515 PREMIER DR SUITE 204
High Point, NC 27265
(336) 802-2075
✔ PECOSSame address
See all 582 clinicians

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 34D2092195

Wake Forest Health Network Family Medicine - North High Point · High Point, NC
Active · expires Jun 30, 2027
CLIA Number34D2092195
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorHeidi A. Mandry
Laboratory Phone(336) 878-6644
Laboratory LocationWake Forest Health Network Family Medicine - North High Point1208 Eastchester Suite 108, High Point, NC 27265
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Wake Forest Health Network LLC's NPI number?

The NPI number for Wake Forest Health Network LLC is 1003150798. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Atrium Health Wake Forest Baptist Pulmonology - Premier.

Where is Wake Forest Health Network LLC located?

Wake Forest Health Network LLC is located at 4515 Premier Dr Ste 404, High Point, NC 27265. The listed phone number is (336) 802-2094.

What is Wake Forest Health Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Wake Forest Health Network LLC enrolled in Medicare?

Yes. Wake Forest Health Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Forest Health Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 582 clinicians in 42 Medicare specialties reassign their Medicare billing to Wake Forest Health Network 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 Diagnostic Radiology (141), Nurse Practitioner (98) and Family Practice (67). Of these, 28 practice at this address and 210 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wake Forest Health Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2092195) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Wake Forest Health Network 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 Wake Forest Health Network LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.