CEDAR OAKS CLINIC PLLC
NPI 1184209470
Psychiatry & Neurology - Psychiatry in Wake Forest, NC

Active since March 17, 2021CLIA 34D2284535 · Waiver
1748 HERITAGE CENTER DR STE 101, WAKE FOREST, NC 27587(919) 332-8969 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2022, Mar 17, 2021 (2 updates tracked since 2021).

About Cedar Oaks Clinic Pllc NPPES

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

CEDAR OAKS CLINIC PLLC (NPI 1184209470) is a healthcare organization registered as a psychiatry in Wake Forest, North Carolina and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Cedar Oaks Clinic, Clinic, as its authorized official.

NPPES Registry Identity

NPI1184209470
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCEDAR OAKS CLINIC PLLC
Location Address1748 HERITAGE CENTER DR STE 101Wake Forest, NC 27587-9855
Mailing Address1748 Heritage Center Dr Ste 101Wake Forest, NC 27587-9855
Organization SubpartNo
Authorized OfficialCedar Oaks ClinicClinic · (919) 529-5920
Enumeration DateMarch 17, 2021
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1184209470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1748 HERITAGE CENTER DR STE 101, Wake Forest, NC 27587

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedar Oaks Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Cedar Oaks Clinic PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Mental Health Counselor2

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1326718404
1748 HERITAGE CENTER DR STE 101
Wake Forest, NC 27587
(919) 529-5920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235001173
1748 HERITAGE CENTER DR STE 101
Wake Forest, NC 27587
(919) 529-5933
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1932250065
1748 HERITAGE CENTER DR STE 101
Wake Forest, NC 27587
(919) 529-5920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750881983
1748 HERITAGE CENTER DR STE 101
Wake Forest, NC 27587
(919) 529-5920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235906793
8392 SIX FORKS RD STE 203
Raleigh, NC 27615
(984) 308-3678
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1912665340
3911 NEW BERN AVE
Raleigh, NC 27610
(199) 480-3009
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1619246394
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS12 mi
Nurse Practitioner
NPI 1790387447
MONARCH BEHAVIORAL HEALTH URGENT CARE 319 CHAPANOKE ROAD, STE 120
Raleigh, NC 27603
(919) 703-2845
✔ PECOS✔ Accepts Medicare20 mi
Mental Health Counselor
NPI 1225479835
2000 REGENCY PKWY STE 255
Cary, NC 27518
(704) 360-3637
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1245574326
501 EICHENFELD DR SUITE 101
Brandon, FL 33511
(813) 685-7716
✔ PECOS✔ Accepts Medicare595 mi

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

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 of Waiver 34D2284535

Cedar Oaks Clinic · Wake Forest, NC
Active · expires Jun 25, 2027
CLIA Number34D2284535
Laboratory TypeClinic
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorNatasha Donnelly
Laboratory Phone(919) 529-5933
Laboratory LocationCedar Oaks Clinic1748 Heritage Center Dr, Suite 101, Wake Forest, NC 27587
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Cedar Oaks Clinic PLLC's NPI number?

The NPI number for Cedar Oaks Clinic PLLC is 1184209470. It was assigned to this organization in the NPPES registry on March 17, 2021.

Where is Cedar Oaks Clinic PLLC located?

Cedar Oaks Clinic PLLC is located at 1748 Heritage Center Dr Ste 101, Wake Forest, NC 27587. The listed phone number is (919) 332-8969.

What is Cedar Oaks Clinic PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cedar Oaks Clinic PLLC enrolled in Medicare?

Yes. Cedar Oaks Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Oaks Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Cedar Oaks Clinic PLLC. 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 Nurse Practitioner (8) and Mental Health Counselor (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cedar Oaks Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2284535) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cedar Oaks Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Cedar Oaks Clinic PLLC 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 Cedar Oaks Clinic PLLC was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.