WAKEVIEW CLINIC
NPI 1053465997
Community/Behavioral Health in Raleigh, NC

Active since January 22, 2007CLIA Certified · 2 labs
2101 GARNER RD, RALEIGH, NC 27610(919) 832-4453(919) 829-1357 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2022, Dec 7, 2022 (2 updates tracked since 2022).

About Wakeview Clinic NPPES

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

WAKEVIEW CLINIC (NPI 1053465997) is a healthcare organization registered as a community/behavioral health in Raleigh, North Carolina and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Raleigh, and lists Adam Hartzell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053465997
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHLIGHT HEALTHCARE
Location Address2101 GARNER RDRaleigh, NC 27610-4687
Mailing Address3125 Poplarwood Court, Suite 203Raleigh, NC 27604-6445 · (919) 787-6131 · Fax (919) 571-2932
Fax(919) 829-1357
Organization SubpartNo
Authorized OfficialAdam HartzellCeo · (919) 787-6131
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1053465997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
2101 GARNER RD, Raleigh, NC 27610

Other Names 1

Other NameWakeview Clinic

Secondary Practice Location 1

Location 13117 Poplarwood Ct Ste 115Raleigh, NC 27604-1040 · Phone (919) 787-6131 · Fax (919) 571-2932

CLIA Laboratory Certificates CMS CLIA 2

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 34D2090259

Southlight Healthcare Laboratory · Raleigh, NC
Active · expires Oct 22, 2027
CLIA Number34D2090259
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Kellie M. Ross
Laboratory Phone(919) 832-4453
Laboratory LocationSouthlight Healthcare Laboratory2101 Garner Road, Raleigh, NC 27610
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2114112

Southlight Healthcare Residential Program For Women/Children · Garner, NC
Active · expires Jun 6, 2028
CLIA Number34D2114112
Laboratory TypeResidential Trtmt Prog
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorKatherine N. Fox
Laboratory Phone(919) 787-6131
Laboratory LocationSouthlight Healthcare Residential Program For Women/Children1952 Spring Drive, Garner, NC 27529
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Social Worker (Clinical)
2101 GARNER RD
RALEIGH, NC 27610
Social Worker (Clinical)
2101 GARNER RD
RALEIGH, NC 27610
Counselor (Addiction (Substance Use Disorder))
2101 GARNER RD
RALEIGH, NC 27610
Counselor (Addiction (Substance Use Disorder))
2101 GARNER RD
RALEIGH, NC 27610
Social Worker (Clinical)
2101 GARNER RD
RALEIGH, NC 27610
Counselor (Mental Health)
2101 GARNER RD
RALEIGH, NC 27610
Social Worker (Clinical)
2101 GARNER RD
RALEIGH, NC 27610
Social Worker (Clinical)
2101 GARNER RD
RALEIGH, NC 27610

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 Southlight Healthcare's NPI number?

The NPI number for Southlight Healthcare is 1053465997. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is also known as Wakeview Clinic.

Where is Southlight Healthcare located?

Southlight Healthcare is located at 2101 Garner Rd, Raleigh, NC 27610. The listed phone number is (919) 832-4453.

What is Southlight Healthcare's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Southlight Healthcare hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southlight Healthcare was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.