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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: October 18, 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 ›

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 Forestville Crossing 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 Forestville Crossing, which bills Medicare for the services they deliver. Of these, 6 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
Kyle Atkins
Nurse Practitioner
NPI 1124496633
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts MedicareSame address
Christine Baker, M.D.
Family Practice
NPI 1205861093
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts MedicareSame address
Heather Cupp, R.D.
Registered Dietitian or Nutrition Professional
NPI 1932185378
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ Accepts MedicareSame address
Tatiana Hardy, NP-C
Nurse Practitioner
NPI 1538511753
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts MedicareSame address
Allison Jones, NP
Nurse Practitioner
NPI 1710242417
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts MedicareSame address
Gabriel Lopez, MD
Family Practice
NPI 1679077796
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts MedicareSame address
Lori Stiegemeier, D.O
Pediatric Medicine
NPI 1699090159
1655 WAKE DR UNIT 101
Wake Forest, NC 27587
(919) 556-4779
✔ PECOS3.9 mi
Gwen Harris, FNP
Nurse Practitioner
NPI 1114529070
2001 S MAIN ST
Wake Forest, NC 27587
(919) 350-0365
✔ PECOS✔ Accepts Medicare4.0 mi
Michael Hong, DO
Family Practice
NPI 1972168946
2001 S MAIN ST
Wake Forest, NC 27587
(919) 350-0365
✔ PECOS✔ Accepts Medicare4.0 mi
Emilie Price, DNP, FNP-BC
Nurse Practitioner
NPI 1790524874
2001 S MAIN ST
Wake Forest, NC 27587
(919) 350-0365
✔ PECOS✔ Accepts Medicare4.0 mi
Tehmina Adnan, M.D.
Internal Medicine
NPI 1821323841
10010 FALLS OF NEUSE RD SUITE 300
Raleigh, NC 27614
(919) 848-6946
✔ PECOS✔ Accepts Medicare5.1 mi
Sukaina Ahmad, M.D.
Internal Medicine
NPI 1629331673
10010 FALLS OF NEUSE RD
Raleigh, NC 27614
(919) 848-6946
✔ PECOS✔ Accepts Medicare5.1 mi
Jacqueline Hicks, D.O.
Family Practice
NPI 1326208117
10010 FALLS OF NEUSE RD
Raleigh, NC 27614
(919) 848-6946
✔ PECOS✔ Accepts Medicare5.1 mi
Olivia Hodgson, FNP-BC
Nurse Practitioner
NPI 1073106878
10010 FALLS OF NEUSE RD STE 103 & 300
Raleigh, NC 27614
(919) 848-6946
✔ PECOS✔ Accepts Medicare5.1 mi
Monica Oei, MD
Family Practice
NPI 1225041569
10010 FALLS OF NEUSE RD STE 103
Raleigh, NC 27614
(919) 848-9451
✔ PECOS✔ Accepts Medicare5.1 mi
Jennifer Rutledge, FNP
Nurse Practitioner
NPI 1932599487
10010 FALLS OF NEUSE RD SUITE 300
Raleigh, NC 27614
(919) 848-6946
✔ PECOS✔ Accepts Medicare5.1 mi
Luma Essaid, MD
Pediatric Medicine
NPI 1437714003
1030 SIENA DR
Wake Forest, NC 27587
(919) 235-6511
✔ PECOS5.2 mi
Jennifer Willard, M.D.
Pediatric Medicine
NPI 1750352423
1030 SIENA DRIVE
Raleigh, NC 27587
(919) 235-6511
✔ PECOS5.2 mi
Rebecca Simpson, M.S., R.D., L.D.N.
Registered Dietitian or Nutrition Professional
NPI 1912173709
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6439
✔ Accepts Medicare8.5 mi
Marsha Kenner, RD, LDN
Registered Dietitian or Nutrition Professional
NPI 1083070478
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8325
8.8 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 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 DirectorDavid S. Keith
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.

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.

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, 6 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 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, 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 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.