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WAKEMED PRIMARY CARE FORESTVILLE CROSSING
NPI 1255851424
Family Medicine in Raleigh, NC

Active since June 20, 2017CLIA 34D2137661 · Microscopy
2930 FORESTVILLE RD, RALEIGH, NC 27616(919) 235-6550(919) 235-6586 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2019, Jun 16, 2018, Oct 26, 2017 and 2 more (5 updates tracked since 2017).

About Wakemed Primary Care Forestville Crossing NPPES

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

WAKEMED PRIMARY CARE FORESTVILLE CROSSING (NPI 1255851424) is a healthcare organization registered as a family medicine in Raleigh, North Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Microscopy certificate valid through October 1, 2027 and lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255851424
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address2930 FORESTVILLE RDRaleigh, NC 27616-8774
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552 · Fax (919) 350-7687
Phone(919) 235-6550
Fax(919) 235-6586
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateJune 20, 2017
Last NPPES UpdateAugust 8, 20195 updates tracked since enumeration
✔ NPI 1255851424 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
2930 FORESTVILLE RD, Raleigh, NC 27616
Open in Google Maps ↗

Other Names 1

Doing Business AsWakemed Primary Care Forestville Crossing

Other Identifiers 1

Medicaid1255851424NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2137661

Wakemed Primary Care - Forestville Crossing · Raleigh, NC
Active · expires Oct 1, 2027
CLIA Number34D2137661
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorRyan Murray
Laboratory Phone(919) 350-8532
Laboratory LocationWakemed Primary Care - Forestville Crossing2930 Forestville Road, Suite 100, Raleigh, NC 27616
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

KYLE ATKINS
Nurse Practitioner (Family)
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6550
CHRISTINE MARIE BAKER M.D.
Family Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6550
TATIANA NAKITA GRANT HARDY NP-C
Nurse Practitioner (Family)
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6550
TONI MICHELLE CZITO MD
Emergency Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6500
GABRIEL LOPEZ MD
Family Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6550
EUGENE WAI CHING LEUNG MD
Internal Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6500
MS. ALLISON GRACE JONES NP
Nurse Practitioner (Family)
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6550
HEATHER RENEE CUPP R.D.
Dietitian, Registered
2930 FORESTVILLE RD
RALEIGH, NC 27616
Wake County (919) 235-6550

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 1255851424. It was assigned to this organization in the NPPES registry on June 20, 2017. The provider is doing business as Wakemed Primary Care Forestville Crossing.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 2930 Forestville Rd, Raleigh, NC 27616. The listed phone number is (919) 235-6550.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 34D2137661) is associated with this NPI, valid through October 1, 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 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.