WAKEMED PRIMARY CARE KNIGHTDALE
NPI 1225449168
Family Medicine in Knightdale, NC

Active since May 14, 2014CLIA 34D0891271 · Waiver
901 OLD KNIGHT RD, KNIGHTDALE, NC 27545(919) 266-6211(919) 350-9824 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Wakemed Primary Care Knightdale NPPES

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

WAKEMED PRIMARY CARE KNIGHTDALE (NPI 1225449168) is a healthcare organization registered as a family medicine in Knightdale, North Carolina and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1225449168
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address901 OLD KNIGHT RDKnightdale, NC 27545-9065
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0554
Fax(919) 350-9824
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 1225449168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
901 OLD KNIGHT RD, Knightdale, NC 27545

Other Names 1

Doing Business AsWakemed Primary Care Knightdale

Other Identifiers 1

Medicaid1225449168NC

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)

Wakemed Primary Care Knightdale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

213

Medicare enrollment records show 213 clinicians reassign Medicare billing to Wakemed Primary Care Knightdale, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 76 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Family Practice74
Nurse Practitioner61
Internal Medicine35
Pediatric Medicine28
Registered Dietitian or Nutrition Professional11
Advanced Heart Failure and Transplant Cardiology1
Cardiovascular Disease (Cardiology)1
Emergency Medicine1
1 other specialty1

Nearest to this location (20)

See all 213
Internal Medicine
NPI 1497336713
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538608666
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOSSame address
Family Practice
NPI 1851334163
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1477755841
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366678377
7124 KNIGHTDALE BLVD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1467778738
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6439
✔ PECOS6.3 mi
Registered Dietitian or Nutrition Professional
NPI 1912173709
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6439
✔ Accepts Medicare6.3 mi
Pediatric Medicine
NPI 1710929633
10 SUNNYBROOK RD WCHS CHILD HEALTH CLINIC
Raleigh, NC 27610
(919) 250-4570
✔ PECOS6.4 mi
Pediatric Medicine
NPI 1750025896
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7846
✔ PECOS6.4 mi
Internal Medicine
NPI 1073193355
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-1700
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1598378937
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 235-6505
✔ PECOS6.4 mi
Internal Medicine
NPI 1942210976
3024 NEW BERN AVE SUITE 301 - INTERNAL MEDICINE
Raleigh, NC 27610
(919) 350-7993
✔ PECOS✔ Accepts Medicare6.4 mi
Internal Medicine
NPI 1750601209
3024 NEW BERN AVE ANDREWS CENTER SUITE 307
Raleigh, NC 27610
(919) 350-1161
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1003021080
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7846
✔ PECOS6.4 mi
Nurse Practitioner
NPI 1598085128
3024 NEW BERN AVE SUITE 60
Raleigh, NC 27610
(919) 345-6874
✔ PECOS✔ Accepts Medicare6.4 mi
Registered Dietitian or Nutrition Professional
NPI 1720772254
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
6.5 mi
Registered Dietitian or Nutrition Professional
NPI 1083070478
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8325
6.5 mi
Family Practice
NPI 1932333424
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts Medicare6.5 mi
Family Practice
NPI 1205861093
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts Medicare6.6 mi
Family Practice
NPI 1679077796
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts Medicare6.6 mi
See all 213 clinicians

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 34D0891271

Wakemed Primary Care - Knightdale · Knightdale, NC
Active · expires Jan 30, 2027
CLIA Number34D0891271
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorJennifer Phifer
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Primary Care - Knightdale901 Old Knight Road, Knightdale, NC 27545
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 Wake Specialty Physicians LLC's NPI number?

The NPI number for Wake Specialty Physicians LLC is 1225449168. It was assigned to this organization in the NPPES registry on May 14, 2014. The provider is doing business as Wakemed Primary Care Knightdale.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 901 Old Knight Rd, Knightdale, NC 27545. The listed phone number is (919) 266-6211.

What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wake Specialty Physicians LLC enrolled in Medicare?

Yes. Wake Specialty Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Specialty Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 213 clinicians in 9 Medicare specialties reassign their Medicare billing to Wake Specialty Physicians 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 Family Practice (74), Nurse Practitioner (61) and Internal Medicine (35). Of these, 4 practice at this address and 76 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wake Specialty Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0891271) is associated with this NPI, valid through January 30, 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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer 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 7 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.