WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE
NPI 1053452953
Clinic/Center - Student Health in Winston-salem, NC

NPI Status: Active since February 12, 2007

Contact Information

1834 REYNOLDA ROAD
MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU
WINSTON-SALEM, NC
ZIP 27106
Phone: (336) 758-5218
Fax: (336) 758-6054

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 34D0674178
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 12-13-2026

About WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE

This page provides the complete NPI Profile along with additional information for Wake Forest University Student Health Service, a primary care provider established in Winston-salem, North Carolina operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1053452953 assigned on February 2007. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Cecil Dwight Price M.d. (Director)

NPI
1053452953
Provider Name
WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE
Entity Type
Organization
Location Address
1834 REYNOLDA ROAD MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU WINSTON-SALEM, NC 27106
Location Phone
(336) 758-5218
Location Fax
(336) 758-6054
Mailing Address
PO BOX 7386 WINSTON SALEM, NC 27109
Mailing Phone
(336) 758-5218
Mailing Fax
(336) 758-6054
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2007
Last Update Date
01-19-2011
Code Navigator

A primary care provider (PCP) like Wake Forest University Student Health Service sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

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

DR. CECIL DWIGHT PRICE M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(336) 758-5218

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
34D0674178
Facility Type
School/Student Health Service
Certificate Effective Date
December 14, 2024
Certificate Expiration Date
December 13, 2026
Laboratory Director
VANISSA L. ZWIGARD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Wake Forest University Student Health Service after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1053452953, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 5 → 10 → 1 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 8 + 5 + 4 + 9 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053452953.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053452953, enumerated as an "organization" on February 12, 2007.

The provider is located at 1834 REYNOLDA ROAD MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU WINSTON-SALEM, NC 27106 and the phone number is (336) 758-5218.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.