WAKEMED MYCARE 365 PRIMARY & URGENT CARE WAKE FOREST
NPI 1245820091
Durable Medical Equipment & Medical Supplies in Wake Forest, NC

Q: What is Wake Specialty Physicians LLC's NPI number?

The NPI number for Wake Specialty Physicians LLC is 1245820091. It was assigned to this organization in the NPPES registry on January 25, 2021. The provider is doing business as Wakemed Mycare 365 Primary & Urgent Care Wake Forest.

Q: What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since January 25, 2021CLIA 34D2192495 · Waiver

2001 S MAIN ST STE 200, WAKE FOREST, NC 27587(919) 350-0365(919) 235-1307 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wakemed Mycare 365 Primary & Urgent Care Wake Forest NPPES

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

WAKEMED MYCARE 365 PRIMARY & URGENT CARE WAKE FOREST (NPI 1245820091) is a healthcare organization registered as a durable medical equipment & medical supplies in Wake Forest, North Carolina and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Shondra Lynn Brink, Vp, Wpp Operations, as its authorized official.

NPPES Registry Identity

NPI1245820091

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWAKE SPECIALTY PHYSICIANS LLC

Location Address2001 S MAIN ST STE 200Wake Forest, NC 27587-1652

Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552 · Fax (919) 350-7687

Phone(919) 350-0365

Fax(919) 235-1307

Organization SubpartNo

Authorized OfficialShondra Lynn BrinkVp, Wpp Operations · (919) 350-6045

Enumeration DateJanuary 25, 2021

Last NPPES UpdateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1245820091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

2001 S MAIN ST STE 200, Wake Forest, NC 27587

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Other Names 1

Doing Business AsWakemed Mycare 365 Primary & Urgent Care Wake Forest

Other Identifiers 1

Medicaid1346852407NC

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 34D2192495

Wakemed Mycare 365 Primary & Urgent Care Wake Forest · Wake Forest, NC

Active · expires Sep 9, 2026

CLIA Number34D2192495

Laboratory TypePhysician Office

Certificate Effective DateSeptember 10, 2024

Certificate Expiration DateSeptember 9, 2026

Laboratory DirectorMichael Y. Hong

Laboratory Phone(919) 350-7180

Laboratory LocationWakemed Mycare 365 Primary & Urgent Care Wake Forest2001 S Main Street, 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

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

WAKE SPECIALTY PHYSICIANS

Family Medicine

2001 S MAIN ST STE 200
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 1245820091. It was assigned to this organization in the NPPES registry on January 25, 2021. The provider is doing business as Wakemed Mycare 365 Primary & Urgent Care Wake Forest.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 2001 S Main St Ste 200, Wake Forest, NC 27587. The listed phone number is (919) 350-0365.

What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Wake Specialty Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2192495) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wake Specialty Physicians LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.