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

Q: 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.

Q: What is Wake Forest Health Network LLC's specialty?

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

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: August 09, 2026.

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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 of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

DON BOYCE BENTON DDS

Dentist

2933 MAPLEWOOD AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 760-1277

DAVID LEE MASTERS M.D.

Pediatrics

2933 MAPLEWOOD AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 794-3380

WINSTON NEUROLOGY, PA

Durable Medical Equipment & Medical Supplies

2933 MAPLEWOOD AVE, SUITE 1
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5533

DR. MARK T THORNE M.D.

Surgery

2933 MAPLEWOOD AVE, 4
WINSTON-SALEM, NC 27103

Forsyth County (336) 765-0155

DR. KATHLEEN ALLYSON COMAN PH.D.

Psychologist

2933 MAPLEWOOD AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 802-2205

TRIAD SURGICAL ASSOCIATES, P.A.

Specialist

2933 MAPLEWOOD AVE, STE 4
WINSTON-SALEM, NC 27103

Forsyth County (336) 765-0155

DR. MILLICENT BOOKER FORD MD

Pediatrics

2933 MAPLEWOOD AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 794-3380

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.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC 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 10 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.