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DR. LYNNE SUSAN WIRTH M.D.
NPI 1376512616
Pediatrics - Adolescent Medicine in Clayton, NC

Active since March 17, 2006PECOS Enrolled
204 MEDSPRING DR, CLAYTON, NC 27520(919) 235-6505 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lynne Susan Wirth M.d. NPPES

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

DR. LYNNE SUSAN WIRTH M.D. (NPI 1376512616) is an individual adolescent medicine provider in Clayton, North Carolina, licensed in North Carolina (33770) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376512616
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. LYNNE SUSAN WIRTHCredential: M.D.
Location Address204 MEDSPRING DRClayton, NC 27520-9293
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 235-6505
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1376512616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NC · 33770
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
204 MEDSPRING DR, Clayton, NC 27520
Open in Google Maps ↗

Other Identifiers 3

Other88599NC · Blue Cross Blue Shield
Medicaid8988599NC
Other7873164NC · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lynne Susan Wirth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lynne Wirth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Specialty Physicians, LLC
0.1 mi
Pediatrics
204 MEDSPRING DR
Clayton, NC 27520
  • Reassigned Medicare billing, North Carolina enrollment
  • 213 clinicians in this Medicare group
NPI 1588216253 (919) 235-6505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

SARA LYNN SKILLMAN CPNP
Nurse Practitioner (Pediatrics)
204 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6505
ERIN HEATHER HILBRANDS
Physical Medicine & Rehabilitation (Pain Medicine)
204 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 359-8643
SHEREEN AZAM ALAVIAN MD, MPH
Pediatrics
204 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6505
WAKE SPECIALTY PHYSICIANS, LLC
Pediatrics
204 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6505
DR. ERIN MCGLOIN SHANAHAN M.D.
Pediatrics
204 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6505
CHERISH DAWN TOUSSAINT FNP-BC
Nurse Practitioner (Family)
204 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6514

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 Lynne Wirth's NPI number?

The NPI number for Lynne Wirth is 1376512616. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Lynne Wirth located?

Lynne Wirth practices at 204 Medspring Dr, Clayton, NC 27520. The listed phone number is (919) 235-6505.

What is Lynne Wirth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Lynne Wirth enrolled in Medicare?

Yes. Lynne Wirth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynne Wirth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynne Wirth reassigns Medicare benefits to Wake Specialty Physicians, LLC (Clayton, NC). The 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 Lynne Wirth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynne Wirth accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Lynne Wirth 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 Lynne Wirth was last updated on April 15, 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.