WAKEMED CHILDRENS PEDIATRIC PULMONOLOGY
NPI 1407409543
Pediatrics - Pediatric Pulmonology in Clayton, NC
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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 Childrens Pediatric Pulmonology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
995Medicare enrollment records show 995 clinicians reassign Medicare billing to Wakemed Childrens Pediatric Pulmonology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 995Clayton, NC 27520
Garner, NC 27529
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 of Waiver 34D2166932
Wakemed Childrens Pediatric Endorcrinology · Clayton, NCFrequently 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.
Is Wakemed Specialists Group, LLC enrolled in Medicare?
Yes. Wakemed Specialists Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wakemed Specialists Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 995 clinicians in 49 Medicare specialties reassign their Medicare billing to Wakemed Specialists Group, 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 Nurse Practitioner (224), Internal Medicine (132) and Obstetrics/Gynecology (62). Of these, 1 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wakemed Childrens Pediatric Pulmonology · NPI 1407409543
Pediatric Pulmonology organization in Clayton, North Carolina. Organization record, active in the CMS NPPES registry since July 18, 2019.
## Identity
- **NPI:** 1407409543 (Entity type: Organization)
- **Enumerated:** July 18, 2019
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **Legal business name:** Wakemed Specialists Group, Llc
- **Organization subpart:** No
- **Authorized official:** Maria Jayoussi, EXECUTIVE DIRECTOR OF FINANCE
## Practice location
- **Address:** 104 MEDSPRING DR, Clayton, NC 27520-9687
- **Phone:** (919) 235-6535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 995 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (224), Internal Medicine (132), Obstetrics/Gynecology (62); 1 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1407409543/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2020
- **Other identifiers:** Medicaid 1407409543 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407409543) · Data from the CMS NPPES public registry.