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WAKEMED CHILDRENS PEDIATRIC PULMONOLOGY
NPI 1407409543
Pediatrics - Pediatric Pulmonology in Clayton, NC

Active since July 18, 2019CLIA 34D2166932 · Waiver
104 MEDSPRING DR, CLAYTON, NC 27520(919) 235-6535 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2020, Aug 28, 2019, Jul 18, 2019 (3 updates tracked since 2019).

About Wakemed Childrens Pediatric Pulmonology NPPES

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

WAKEMED CHILDRENS PEDIATRIC PULMONOLOGY (NPI 1407409543) is a healthcare organization registered as a pediatric pulmonology in Clayton, North Carolina and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1407409543
Entity TypeOrganization
Primary Taxonomy2080P0214X
Legal Business NameWAKEMED SPECIALISTS GROUP, LLC
Location Address104 MEDSPRING DRClayton, NC 27520-9687
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0554 · Fax (919) 350-7687
Phone(919) 235-6535
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateJuly 18, 2019
Last NPPES UpdateFebruary 6, 20203 updates tracked since enumeration
✔ NPI 1407409543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
104 MEDSPRING DR, Clayton, NC 27520
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Other Names 1

Other NameWakemed Childrens Pediatric Pulmonology

Other Identifiers 1

Medicaid1407409543NC

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 34D2166932

Wakemed Childrens Pediatric Endorcrinology · Clayton, NC
Active · expires May 29, 2027
CLIA Number34D2166932
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorWilliam Lagarde
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Childrens Pediatric Endorcrinology104 Medspring Drive, Suite 200, Clayton, NC 27520
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MATTHEW MUNSCHAUER MD
Pediatrics
104 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (414) 266-6800
DR. LAURA BETH MANN DOSIER MD
Pediatrics (Pediatric Pulmonology)
104 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6535
ASHLEY ROLLINS BEKAMPIS CPNP
Nurse Practitioner (Pediatrics)
104 MEDSPRING DR, SUITE 100
CLAYTON, NC 27520
Johnston County (919) 734-4736
TANIA DIAZ ARNP, PPCNP-BC
Nurse Practitioner (Pediatrics)
104 MEDSPRING DR
CLAYTON, NC 27520
Johnston County (919) 235-6535

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 Wakemed Specialists Group, LLC's NPI number?

The NPI number for Wakemed Specialists Group, LLC is 1407409543. It was assigned to this organization in the NPPES registry on July 18, 2019. The provider is also known as Wakemed Childrens Pediatric Pulmonology.

Where is Wakemed Specialists Group, LLC located?

Wakemed Specialists Group, LLC is located at 104 Medspring Dr, Clayton, NC 27520. The listed phone number is (919) 235-6535.

What is Wakemed Specialists Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Does Wakemed Specialists Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2166932) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wakemed Specialists Group, 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 Wakemed Specialists Group, 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 Wakemed Specialists Group, LLC was last updated on February 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.