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WAKEMED PRIMARY CARE WAKE FOREST
NPI 1225684004
Family Medicine in Wake Forest, NC

Active since August 16, 2019CLIA 34D2172120 · Waiver
1030 SIENA DR, WAKE FOREST, NC 27587(919) 235-6540(919) 235-6504 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Oct 16, 2019, Aug 16, 2019 (3 updates tracked since 2019).

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

NPI1225684004
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address1030 SIENA DRWake Forest, NC 27587
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552 · Fax (919) 350-7687
Phone(919) 235-6540
Fax(919) 235-6504
Organization SubpartNo
Authorized OfficialMichael Paul DuffeyExecutive Director Finance · (919) 350-8000
Enumeration DateAugust 16, 2019
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1225684004 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
1030 SIENA DR, Wake Forest, NC 27587
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Other Names 1

Doing Business AsWakemed Primary Care Wake Forest

Other Identifiers 1

Medicaid1225684004NC

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 and more.Insurance ›

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, NC
Active · expires Jan 30, 2027
CLIA Number34D2172120
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorJacqueline M. Hicks
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Primary Care -Wake Forest Medical Park1030 Siena Drive, Suite # 130, 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKEMED SPECIALISTS GROUP LLC
Durable Medical Equipment & Medical Supplies
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 232-5020
LAUREN ELIZABETH DAUGHERTY M.D.
Surgery
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 350-7331
DR. JOSHUA MARK METZGER LANCASTER MD
Family Medicine
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 235-6540
LUMA ESSAID MD
Pediatrics
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 235-6511
TROY FLETCHER ANDERSON MD
Internal Medicine
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 235-6540
WAKE SPECIALTY PHYSICIANS LLC
Pediatrics
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 350-8000
ALUGYA ABDELRHMAN SULIMAN MD
Family Medicine
1030 SIENA DR
WAKE FOREST, NC 27587
Wake County (919) 235-6540

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 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.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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 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.