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WAKEMED PROFESSIONAL PHYSICIANS STAFF
NPI 1194907717
Internal Medicine in Raleigh, NC

Active since December 05, 2007CLIA Certified · 13 labs
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000(919) 350-0559 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wakemed Professional Physicians Staff NPPES

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

WAKEMED PROFESSIONAL PHYSICIANS STAFF (NPI 1194907717) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since December 2007. The organization holds 13 active CLIA laboratory certificates and lists Rebecca E. Andrews, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1194907717
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWAKEMED
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address3000 New Bern Ave, Managed Care Contracting Dept.Raleigh, NC 27610-1231 · (919) 350-0558 · Fax (919) 350-0559
Phone(919) 350-8000
Fax(919) 350-0559
Organization SubpartNo
Authorized OfficialRebecca E. AndrewsVp, Finance · (919) 350-8344
Enumeration DateDecember 5, 2007
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1194907717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3000 NEW BERN AVE, Raleigh, NC 27610
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Other Names 1

Doing Business AsWakemed Professional Physicians Staff

Other Identifiers 3

Medicaid1194907717NC
Medicare PIN235119ENC
Medicaid890770GNC

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA 13

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 34D2113588

Wakemed Children's Pediatric Endocrinology · Raleigh, NC
Active · expires May 24, 2028
CLIA Number34D2113588
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorWilliam Lagarde
Laboratory Phone(919) 350-8481
Laboratory LocationWakemed Children's Pediatric Endocrinology1911 Falls Valley Drive, Raleigh, NC 27615
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2147208

Wakemed Ob/Gyn - Oberlin · Raleigh, NC
Active · expires Apr 15, 2028
CLIA Number34D2147208
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorBenjamin White
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Ob/Gyn - Oberlin505 Oberlin Rd, Raleigh, NC 27605
CLIA data matches this NPI record on: Name
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.

Certificate of Waiver 34D0972178

Wakemed Heart & Vascular - Cardiology · Raleigh, NC
Active · expires Mar 30, 2028
CLIA Number34D0972178
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorJeffrey Blackburn
Laboratory Phone(919) 781-7772
Laboratory LocationWakemed Heart & Vascular - Cardiology3324 Six Forks Rd, Raleigh, NC 27609
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2242367

Wakemed Mycare 365 Primary And Urgent Care - Fayetteville Rd · Raleigh, NC
Active · expires Nov 7, 2027
CLIA Number34D2242367
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorNina G. Quicksell
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Mycare 365 Primary And Urgent Care - Fayetteville Rd4530 Fayetteville Rd, Raleigh, NC 27603
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2285987

Wakemed Mycare 365 Primary & Urgent Care Ten-Ten · Raleigh, NC
Active · expires Jul 20, 2027
CLIA Number34D2285987
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorNina G. Quicksell
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Mycare 365 Primary & Urgent Care Ten-Ten7750 Ten-Ten Rd, Raleigh, NC 27603
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2229235

Wakemed Heart & Vascular Cardiology Oberlin · Raleigh, NC
Active · expires Jul 8, 2027
CLIA Number34D2229235
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorMatthew S. White
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Heart & Vascular Cardiology Oberlin505 Oberlin Rd, Raleigh, NC 27605
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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.

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ADAM PETER LISEWSKI OT
Occupational Therapist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Wakemed's NPI number?

The NPI number for Wakemed is 1194907717. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Wakemed Professional Physicians Staff.

Where is Wakemed located?

Wakemed is located at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.

What is Wakemed's specialty?

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

Does Wakemed hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wakemed accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Wakemed 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 Wakemed was last updated on January 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.