WAKEMED SPECIALISTS GROUP LLC
NPI 1003751900
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Raleigh, NC

NPI Status: Active since April 20, 2026

Contact Information

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8000

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  • Organization
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...
  • CLIA Number: 34D0663138
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About WAKEMED SPECIALISTS GROUP LLC

This page provides the complete NPI Profile along with additional information for Wakemed Specialists Group Llc, a provider established in Raleigh, North Carolina operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1003751900 assigned on April 2026. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated April 2026. Wakemed Specialists Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Karen Revicki Perry (Executive Director Operations Wpp)

NPI
1003751900
Provider Name
WAKEMED SPECIALISTS GROUP LLC
Entity Type
Organization
Location Address
23 SUNNYBROOK RD RALEIGH, NC 27610
Location Phone
(919) 350-8000
Mailing Address
PO BOX 808800 KANSAS CITY, MO 64180
Mailing Phone
(877) 498-4490
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2026
Last Update Date
04-20-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN REVICKI PERRY

Authorized Official Title
EXECUTIVE DIRECTOR OPERATIONS WPP
Authorized Official Phone
(919) 350-9713

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0663138
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. GEORGE H. CLARKE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wakemed Specialists Group Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003751900, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 4 + 5 + 2 + 9 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003751900.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Legal Medicine
23 SUNNYBROOK RD, STE 109
RALEIGH, NC 27610
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 145
RALEIGH, NC 27610
Prosthetist
23 SUNNYBROOK RD, STE. 185
RALEIGH, NC 27610
Urology
23 SUNNYBROOK RD
RALEIGH, NC 27610
Nurse Practitioner (Pediatrics)
23 SUNNYBROOK RD, SUITE116
RALEIGH, NC 27610
Pediatrics (Pediatric Endocrinology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Surgery (Surgical Critical Care)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Obesity Medicine)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Dietitian, Registered
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Developmental - Behavioral Pediatrics)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Pediatric Endocrinology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Obesity Medicine)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Pediatric Pulmonology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Dietitian, Registered
23 SUNNYBROOK RD
RALEIGH, NC 27610
Pediatrics (Developmental - Behavioral Pediatrics)
23 SUNNYBROOK RD
RALEIGH, NC 27610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003751900, enumerated as an "organization" on April 20, 2026.

The provider is located at 23 SUNNYBROOK RD RALEIGH, NC 27610 and the phone number is (919) 350-8000.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.