WAKE FOREST HEALTH NETWORK LLC
NPI 1104959055
Ophthalmology in High Point, NC

Active since March 13, 2007
1565 N UNIVERSITY PARKWAY, HIGH POINT, NC 27262(336) 802-2020(336) 802-2021 Get Directions Write a Review

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

Record update history: Nov 8, 2023, Sep 24, 2021, Nov 4, 2020 (3 updates tracked since 2020).

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 1104959055), doing business as Atrium Health Wake Forest Baptist Ophthalmology - Oak Hollow, is a healthcare organization registered as an ophthalmology in High Point, North Carolina and active in the NPI registry since March 2007. The organization lists Craig Michael Greven, Sr Vp Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1104959055
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameWAKE FOREST HEALTH NETWORK LLC
Location Address1565 N UNIVERSITY PARKWAYHigh Point, NC 27262-7612
Mailing Address1565 N University PkwyHigh Point, NC 27262-7613 · (336) 802-2020 · Fax (336) 802-2021
Fax(336) 802-2021
Organization SubpartNo
Authorized OfficialCraig Michael GrevenSr Vp Clinical Operations · (336) 716-1331
Enumeration DateMarch 13, 2007
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1104959055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1565 N UNIVERSITY PARKWAY, High Point, NC 27262

Other Names 1

Doing Business AsAtrium Health Wake Forest Baptist Ophthalmology - Oak Hollow

Other Identifiers 10

Medicaid890246JNC
Other22797NC · Medcost
OtherCD6614NC · Rr Medicare
Other1212660016NC · Dme
OtherCC4243NC · Rr Medicare
OtherCB8658NC · Rr Medicare
Other7719721NC · Aetna
OtherD266NC · Partners
Other0246JNC · Bcbs
OtherCC4241NC · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation 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).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20100930040740DME · Physician - OphthalmologyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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, 4 practice at this address and 191 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
Ophthalmology
NPI 1922532043
1565 N UNIVERSITY PKWY
High Point, NC 27262
(336) 802-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1720549595
1565 N UNIVERSITY PKWY
High Point, NC 27262
(336) 802-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1346569548
1400 E HARTLEY DR
High Point, NC 27262
(336) 802-2020
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1164650263
1400 E HARTLEY DR
High Point, NC 27262
(336) 802-2020
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1639296882
1030 MALL LOOP RD
High Point, NC 27262
(336) 781-4320
✔ Accepts Medicare0.4 mi
Physical Therapist in Private Practice
NPI 1780625137
1030 MALL LOOP RD
High Point, NC 27262
(336) 781-4320
✔ Accepts Medicare0.4 mi
Physical Therapist in Private Practice
NPI 1619212750
1030 MALL LOOP RD
High Point, NC 27262
(336) 781-4320
✔ Accepts Medicare0.4 mi
Cardiac Electrophysiology
NPI 1629039862
1226 EASTCHESTER DR STE 100
High Point, NC 27265
(336) 481-8540
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1497105407
1208 EASTCHESTER DR STE 107
High Point, NC 27265
(336) 802-2900
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1649407396
1208 EASTCHESTER DR SUITE 107
High Point, NC 27265
(336) 802-2900
✔ PECOS0.9 mi
Clinical Psychologist
NPI 1982758512
1208 EASTCHESTER DR STE 200
High Point, NC 27265
(336) 802-2205
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1659459071
1208 EASTCHESTER DR SUITE 107
High Point, NC 27265
(336) 802-2900
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1740220748
1208 EASTCHESTER DR STE 200
High Point, NC 27265
(336) 802-2205
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Psychologist
NPI 1093734295
1208 EASTCHESTER DR SUITE 200
High Point, NC 27265
(336) 802-2536
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Psychologist
NPI 1154354058
1208 EASTCHESTER DR SUITE 200
High Point, NC 27265
(336) 802-2536
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Psychologist
NPI 1104342617
1208 EASTCHESTER DR STE 200
High Point, NC 27265
(336) 802-2205
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1912208976
1208 EASTCHESTER DR STE 107
High Point, NC 27265
(336) 802-2900
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1023079308
1208 EASTCHESTER DR SUITE 107
High Point, NC 27265
(336) 802-2588
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1538106729
1814 EASTCHESTER DR
High Point, NC 27265
(336) 481-1830
✔ PECOS1.7 mi
Registered Dietitian or Nutrition Professional
NPI 1578860375
710 N ELM ST
High Point, NC 27262
(336) 878-6340
✔ Accepts Medicare1.7 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 1104959055. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Atrium Health Wake Forest Baptist Ophthalmology - Oak Hollow.

Where is Wake Forest Health Network LLC located?

Wake Forest Health Network LLC is located at 1565 N University Parkway, High Point, NC 27262. The listed phone number is (336) 802-2020.

What is Wake Forest Health Network LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Wake Forest Health Network LLC enrolled in Medicare?

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

When is Wake Forest Health Network LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - Ophthalmology) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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, 4 practice at this address and 191 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 7 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.