WAKE FOREST UNIVERSITY HEALTH SCIENCES
NPI 1215754775
Clinic/Center - Multi-Specialty in Kernersville, NC

Active since September 25, 2024
2755 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284(336) 834-3653(336) 886-0098 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wake Forest University Health Sciences NPPES

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

WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI 1215754775), doing business as Ralph Lauren, is a healthcare organization registered as a multi-specialty in Kernersville, North Carolina and active in the NPI registry since September 2024. The organization maintains a secondary practice location in High Point and lists Ashley C Johnson, Director, Managed Health, as its authorized official.

NPPES Registry Identity

NPI1215754775
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWAKE FOREST UNIVERSITY HEALTH SCIENCES
Location Address2755 NC HIGHWAY 66 SKernersville, NC 27284-8533
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 713-0947
Fax(336) 886-0098
Organization SubpartYes
Authorized OfficialAshley C JohnsonDirector, Managed Health · (336) 713-4944
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1215754775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2755 NC HIGHWAY 66 S, Kernersville, NC 27284

Other Names 1

Doing Business AsRalph Lauren

Secondary Practice Location 1

Location 1201 N Pendleton StHigh Point, NC 27260-5800 · Phone (336) 884-0387 · Fax (336) 884-0388

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 University Health Sciences's NPI number?

The NPI number for Wake Forest University Health Sciences is 1215754775. It was assigned to this organization in the NPPES registry on September 25, 2024. The provider is doing business as Ralph Lauren.

Where is Wake Forest University Health Sciences located?

Wake Forest University Health Sciences is located at 2755 Nc Highway 66 S, Kernersville, NC 27284. The listed phone number is (336) 834-3653.

What is Wake Forest University Health Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Wake Forest University Health Sciences was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.