WAKEVIEW CLINIC
NPI 1053465997
Community/Behavioral Health in Raleigh, NC
NPI Status: Active since January 22, 2007
Contact Information
2101 GARNER RD
RALEIGH, NC
ZIP 27610
Phone: (919) 832-4453
Fax: (919) 829-1357
- Organization
- Community/Behavioral Health
- CLIA Number: 34D2090259
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-22-2027
About WAKEVIEW CLINIC
This page provides the complete NPI Profile along with additional information for Wakeview Clinic, a provider established in Raleigh, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1053465997 assigned on January 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Wakeview Clinic. The authorized official of this NPI record is Mr. Adam Hartzell (Ceo)
- NPI
- 1053465997
- Provider Legal Name
- SOUTHLIGHT HEALTHCARE
- Other Organization Name
- WAKEVIEW CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2101 GARNER RD RALEIGH, NC 27610
- Location Phone
- (919) 832-4453
- Location Fax
- (919) 829-1357
- Mailing Address
- 3125 POPLARWOOD COURT SUITE 203 RALEIGH, NC 27604
- Mailing Phone
- (919) 787-6131
- Mailing Fax
- (919) 829-1357
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2007
- Last Update Date
- 12-13-2022
- Code Navigator
Location Map
Secondary Locations
- 3117 Poplarwood Ct Ste 115
Raleigh, NC 27604
(919) 787-6131
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 34D2090259
- Facility Type
- Physician Office
- Certificate Effective Date
- October 23, 2025
- Certificate Expiration Date
- October 22, 2027
- Laboratory Director
- DR. KELLIE M. ROSS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wakeview Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1053465997, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
RALEIGH, NC 27610
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053465997, enumerated as an "organization" on January 22, 2007.
The provider is located at 2101 GARNER RD RALEIGH, NC 27610 and the phone number is (919) 832-4453.
Community/Behavioral Health with taxonomy code 251S00000X.
