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WAKEMED PRIMARY CARE NORTH RALEIGH
NPI 1134530074
Internal Medicine in Raleigh, NC

Active since May 14, 2014CLIA 34D1032130 · Microscopy
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614(919) 848-6946(919) 848-4899 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2019, Oct 30, 2017, Sep 12, 2016 (3 updates tracked since 2016).

About Wakemed Primary Care North Raleigh NPPES

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

WAKEMED PRIMARY CARE NORTH RALEIGH (NPI 1134530074) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since May 2014. The organization holds a CLIA Microscopy certificate valid through August 21, 2027 and lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1134530074
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address10010 FALLS OF NEUSE RDRaleigh, NC 27614-8494
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0554 · Fax (919) 350-7687
Phone(919) 848-6946
Fax(919) 848-4899
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateMay 14, 2014
Last NPPES UpdateAugust 8, 20193 updates tracked since enumeration
✔ NPI 1134530074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
10010 FALLS OF NEUSE RD, Raleigh, NC 27614
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Other Names 1

Doing Business AsWakemed Primary Care North Raleigh

Other Identifiers 1

Medicaid1134530074NC

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 ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1032130

Wakemed Primary Care - North Raleigh · Raleigh, NC
Active · expires Aug 21, 2027
CLIA Number34D1032130
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorJacqueline Hicks
Laboratory Phone(919) 848-6946
Laboratory LocationWakemed Primary Care - North Raleigh10010 Falls Of Neuse Road, Suite 300, Raleigh, NC 27614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

WAKEMED SPECIALISTS GROUP, LLC
Pediatrics (Pediatric Cardiology)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 235-6422
CLARA-JADE RAYMUNDO VILLAZOR FNP-C
Nurse Practitioner (Primary Care)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 848-6946
CANCER CENTERS OF NORTH CAROLINA PC
Internal Medicine (Hematology & Oncology)
10010 FALLS OF NEUSE RD, SUITE 203
RALEIGH, NC 27614
Wake County (919) 431-9201
REEM ALKADHI M.D,
Family Medicine
10010 FALLS OF NEUSE RD, SUITE 103
RALEIGH, NC 27614
Wake County (919) 848-9451
OLIVIA JEAN WELLS HODGSON FNP-BC
Nurse Practitioner (Family)
10010 FALLS OF NEUSE RD, STE 103 & 300
RALEIGH, NC 27614
Wake County (919) 848-6946
WAKEMED SPECIALISTS GROUP LLC
Internal Medicine (Rheumatology)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 235-6454
JUSTIN VAN MINH NGUYEN MD
Urology
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 350-1570
KENDALL THERESA KOOSER PHARMD, CPP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 848-6946

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 Specialty Physicians LLC's NPI number?

The NPI number for Wake Specialty Physicians LLC is 1134530074. It was assigned to this organization in the NPPES registry on May 14, 2014. The provider is doing business as Wakemed Primary Care North Raleigh.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 10010 Falls Of Neuse Rd, Raleigh, NC 27614. The listed phone number is (919) 848-6946.

What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wake Specialty Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1032130) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wake Specialty Physicians LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Wake Specialty Physicians 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 Specialty Physicians LLC was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.