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

Active since April 20, 2026
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 350-8000 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wakemed Specialists Group Llc NPPES

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

WAKEMED SPECIALISTS GROUP LLC (NPI 1003751900), doing business as Wakemed Children's -pediatric Neurology, is a healthcare organization registered as a neurology with special qualifications in child neurology in Raleigh, North Carolina and active in the NPI registry since April 2026. The organization lists Karen Revicki Perry, Executive Director Operations Wpp, as its authorized official.

NPPES Registry Identity

NPI1003751900
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameWAKEMED SPECIALISTS GROUP LLC
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing AddressPo Box 808800Kansas City, MO 64180-8800 · (877) 498-4490 · Fax (919) 350-7687
Phone(919) 350-8000
Organization SubpartNo
Authorized OfficialKaren Revicki PerryExecutive Director Operations Wpp · (919) 350-9713
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1003751900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition
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.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
23 SUNNYBROOK RD, Raleigh, NC 27610
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Other Names 1

Doing Business AsWakemed Children's -pediatric Neurology

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

Other Providers at the Same Location NPPES 20

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

JEFF LAWRENCE KANTOR MD
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6435
VESHANA SINTHAL RAMIAH MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-7193
DR. COLIN BRUCE MUNCIE M.D.
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8797
MRS. ALESIA PERKINS GILMORE MS, LCMHC, LPC
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6510
MRS. ELLEN ROBIA HOLLOWAY PA-C
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
ASTHA THAKKAR MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
LITASHA WILSON
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 212-3011
MRS. STACY CRISTMAN THIEDEMAN PA-C
Physician Assistant
23 SUNNYBROOK RD, SUITE NUMBER 113
RALEIGH, NC 27610
Wake County (919) 250-0580

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 Wakemed Specialists Group LLC's NPI number?

The NPI number for Wakemed Specialists Group LLC is 1003751900. It was assigned to this organization in the NPPES registry on April 20, 2026. The provider is doing business as WakeMed Children's -Pediatric Neurology.

Where is Wakemed Specialists Group LLC located?

Wakemed Specialists Group LLC is located at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 350-8000.

What is Wakemed Specialists Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Wakemed Specialists Group LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.