WAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A.
NPI 1023190915
Clinic/Center - Primary Care in Raleigh, NC

Active since October 19, 2006CLIA 34D0997067 · Waiver
14341 NEW FALLS OF NEUSE, SUITE 122, RALEIGH, NC 27614(919) 570-7010(919) 570-7020 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wakefield Pediatrics & Adolescent Medicine,p.a. NPPES

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

WAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A. (NPI 1023190915) is a healthcare organization registered as a primary care in Raleigh, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Milton-jesus Cabalona Sevilla, President, as its authorized official.

NPPES Registry Identity

NPI1023190915
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A.
Location Address14341 NEW FALLS OF NEUSE, SUITE 122Raleigh, NC 27614-8292
Mailing Address14341 New Falls Of Neuse, Suite 122Raleigh, NC 27614-8292 · (919) 570-7010 · Fax (919) 570-7020
Fax(919) 570-7020
Organization SubpartNo
Authorized OfficialMilton-jesus Cabalona SevillaPresident · (919) 570-7010
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1023190915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
14341 NEW FALLS OF NEUSE, Raleigh, NC 27614

Other Identifiers 1

Medicaid89130T6NC

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 34D0997067

Wakefield Ped & Adolescent Medicine PA · Raleigh, NC
Active · expires Mar 4, 2028
CLIA Number34D0997067
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorMilton Jesus C. Sevilla
Laboratory Phone(919) 570-7010
Laboratory LocationWakefield Ped & Adolescent Medicine PA11081 Forest Pines Drive Ste 122, Raleigh, NC 27614
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
14341 NEW FALLS OF NEUSE, SUITE 104
RALEIGH, NC 27614

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 Wakefield Pediatrics & Adolescent Medicine,p.A.'s NPI number?

The NPI number for Wakefield Pediatrics & Adolescent Medicine,p.A. is 1023190915. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Wakefield Pediatrics & Adolescent Medicine,p.A. located?

Wakefield Pediatrics & Adolescent Medicine,p.A. is located at 14341 New Falls Of Neuse Suite 122, Raleigh, NC 27614. The listed phone number is (919) 570-7010.

What is Wakefield Pediatrics & Adolescent Medicine,p.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Wakefield Pediatrics & Adolescent Medicine,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0997067) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wakefield Pediatrics & Adolescent Medicine,p.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.