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WAKE FOREST HEALTH NETWORK LLC
NPI 1063647394
Pediatrics in Winston Salem, NC

Active since May 15, 2009
2933 MAPLEWOOD AVE, WINSTON SALEM, NC 27103(336) 794-3380(336) 794-3378 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wake Forest Health Network Llc NPPES

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

WAKE FOREST HEALTH NETWORK LLC (NPI 1063647394), doing business as Atrium Health Wake Forest Baptist Pediatrics - Ford Simpson Lively & R, is a healthcare organization registered as a pediatrics in Winston Salem, North Carolina and active in the NPI registry since May 2009. The organization lists Craig Michael Greven, Sr Vp Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1063647394
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAKE FOREST HEALTH NETWORK LLC
Location Address2933 MAPLEWOOD AVEWinston Salem, NC 27103-4009
Mailing Address2933 Maplewood Ave Ste 1Winston Salem, NC 27103-4001 · (336) 794-3380 · Fax (336) 794-3378
Phone(336) 794-3380
Fax(336) 794-3378
Organization SubpartNo
Authorized OfficialCraig Michael GrevenSr Vp Clinical Operations · (336) 716-1331
Enumeration DateMay 15, 2009
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1063647394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2933 MAPLEWOOD AVE, Winston Salem, NC 27103
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Other Names 1

Doing Business AsAtrium Health Wake Forest Baptist Pediatrics - Ford Simpson Lively & R

Other Identifiers 3

Medicaid5909124NC
Medicaid5950112NC
Medicaid5950113NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wake Forest Health Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

582

Medicare enrollment records show 582 clinicians reassign Medicare billing to Wake Forest Health Network LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 126 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Diagnostic Radiology141
Nurse Practitioner98
Family Practice67
Internal Medicine43
Pediatric Medicine24
Hospitalist21
Neurology17
Obstetrics/Gynecology16
34 other specialties155

Nearest to this location (20)

See all 582
Kathleen Coman, PH.D.
Clinical Psychologist
NPI 1437324456
2933 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 802-2205
✔ PECOSSame address
Charlene Fleming, MD
Pediatric Medicine
NPI 1235313081
2933 MAPLEWOOD AVE STE 1
Winston Salem, NC 27103
(336) 379-9445
✔ PECOSSame address
Millicent Ford, MD
Pediatric Medicine
NPI 1912923905
2933 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 794-3380
✔ PECOSSame address
David Masters, M.D.
Pediatric Medicine
NPI 1083706816
2933 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 794-3380
✔ PECOSSame address
Mary Armentrout, M.D.
Pediatric Medicine
NPI 1609814144
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 794-3380
✔ PECOSSame address
Carrie Erickson, M.D.
Pediatric Medicine
NPI 1437353364
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 794-3380
✔ PECOSSame address
William Stewart, M.D.
Pediatric Medicine
NPI 1386686319
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 794-3380
✔ PECOSSame address
Amy Yoder, MD
Pediatric Medicine
NPI 1902013378
2909 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 794-3380
✔ PECOS✔ Accepts MedicareSame address
Martina Ratliff, NP
Nurse Practitioner
NPI 1720410749
2912 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 760-0706
✔ PECOS✔ Accepts MedicareSame address
Shawn Fleming, MD
Vascular Surgery
NPI 1902089345
2827 LYNDHURST AVE SUITE 203
Winston Salem, NC 27103
(336) 794-8624
✔ PECOS✔ Accepts Medicare0.1 mi
Keith Herzberger, PT
Physical Therapist in Private Practice
NPI 1982666566
1903 S HAWTHORNE RD EDWIN H. MARTINAT COMPREHENSIVE REHABILITATION CENTER
Winston-salem, NC 27103
(336) 718-6700
✔ Accepts Medicare0.3 mi
James Mothershed, DPM
Podiatry
NPI 1821104852
3057 TRENWEST DR
Winston Salem, NC 27103
(336) 765-0710
✔ PECOS0.3 mi
Thomas Arne, D.P.M.
Podiatry
NPI 1508814633
3057 TRENWEST DR
Winston Salem, NC 27103
(336) 765-0710
✔ PECOS✔ Accepts Medicare0.3 mi
Martin Agbemabiese, M.D.
Hospitalist
NPI 1255383428
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7080
✔ PECOS✔ Accepts Medicare0.5 mi
Eric Chen, DO
Internal Medicine
NPI 1669401352
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7080
✔ PECOS✔ Accepts Medicare0.5 mi
Nancy Frye, FNP
Nurse Practitioner
NPI 1134298052
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7224
✔ PECOS✔ Accepts Medicare0.5 mi
Jaime Jenkins, MD
Hospitalist
NPI 1083881445
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-8383
✔ PECOS✔ Accepts Medicare0.5 mi
Jerry Powell, MD
Internal Medicine
NPI 1669405536
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-8383
✔ PECOS✔ Accepts Medicare0.5 mi
Sarah Vess, PHD, LP, HSP
Clinical Psychologist
NPI 1932833282
3325 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 713-4500
✔ PECOS0.5 mi
Leslie Prophet, MD
Allergy/Immunology
NPI 1932427952
200 CHARLOIS BLVD STE 250
Winston Salem, NC 27103
(336) 716-4332
✔ PECOS✔ Accepts Medicare0.7 mi
See all 582 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wake Forest Health Network LLC's NPI number?

The NPI number for Wake Forest Health Network LLC is 1063647394. It was assigned to this organization in the NPPES registry on May 15, 2009. The provider is doing business as Atrium Health Wake Forest Baptist Pediatrics - Ford Simpson Lively & R.

Where is Wake Forest Health Network LLC located?

Wake Forest Health Network LLC is located at 2933 Maplewood Ave, Winston Salem, NC 27103. The listed phone number is (336) 794-3380.

What is Wake Forest Health Network LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wake Forest Health Network LLC enrolled in Medicare?

Yes. Wake Forest Health Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Forest Health Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 582 clinicians in 42 Medicare specialties reassign their Medicare billing to Wake Forest Health Network LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (141), Nurse Practitioner (98) and Family Practice (67). Of these, 9 practice at this address and 126 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Wake Forest Health Network LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wake Forest Health Network LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.