WAKEMED PRIMARY CARE WAKE FOREST
NPI 1225684004
Family Medicine in Wake Forest, NC
About Wakemed Primary Care Wake Forest NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAKEMED PRIMARY CARE WAKE FOREST (NPI 1225684004) is a healthcare organization registered as a family medicine in Wake Forest, North Carolina and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Michael Paul Duffey, Executive Director Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
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 Wake Forest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
213Medicare enrollment records show 213 clinicians reassign Medicare billing to Wakemed Primary Care Wake Forest, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 213Source: 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 34D2172120
Wakemed Primary Care -Wake Forest Medical Park · Wake Forest, NCFrequently 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 1225684004. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider is doing business as Wakemed Primary Care Wake Forest.
Where is Wake Specialty Physicians LLC located?
Wake Specialty Physicians LLC is located at 1030 Siena Dr, Wake Forest, NC 27587. The listed phone number is (919) 235-6540.
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, 5 practice at this address and 33 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 34D2172120) 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 Blue Cross and Blue Shield of NC and Cigna Healthcare 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 September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wakemed Primary Care Wake Forest · NPI 1225684004
Family Medicine organization in Wake Forest, North Carolina. Organization record, active in the CMS NPPES registry since August 16, 2019.
## Identity
- **NPI:** 1225684004 (Entity type: Organization)
- **Enumerated:** August 16, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Wake Specialty Physicians Llc
- **Organization subpart:** No
- **Authorized official:** Michael Duffey, EXECUTIVE DIRECTOR FINANCE
## Practice location
- **Address:** 1030 SIENA DR, Wake Forest, NC 27587
- **Phone:** (919) 235-6540 · **Fax:** (919) 235-6504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 213 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (74), Nurse Practitioner (61), Internal Medicine (35); 5 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1225684004/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2024
- **Other identifiers:** Medicaid 1225684004 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225684004) · Data from the CMS NPPES public registry.