WAKEFIELD MEDICAL SPECIALTY SERVICES INC
NPI 1417199811
Clinic/Center - Sleep Disorder Diagnostic in Wake Forest, NC
NPI Status: Active since March 31, 2009
Contact Information
123 CAPCOM AVE STE 3
WAKE FOREST, NC
ZIP 27587
Phone: (919) 570-5277
Fax: (919) 570-5377
- Organization
- Clinic/Center
- Sleep Disorder Diagnostic
- Accepts Insurance
- CLIA Number: 34D0882172
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2026
About WAKEFIELD MEDICAL SPECIALTY SERVICES INC
This page provides the complete NPI Profile along with additional information for Wakefield Medical Specialty Services Inc, a provider established in Wake Forest, North Carolina operating as a Clinic/center, focusing in sleep disorder diagnostic . The healthcare provider is registered in the NPI registry with number 1417199811 assigned on March 2009. The practitioner's primary taxonomy code is 261QS1200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Ashley Shearin (Owner)
- NPI
- 1417199811
- Provider Name
- WAKEFIELD MEDICAL SPECIALTY SERVICES INC
- Entity Type
- Organization
- Location Address
- 123 CAPCOM AVE STE 3 WAKE FOREST, NC 27587
- Location Phone
- (919) 570-5277
- Location Fax
- (919) 570-5377
- Mailing Address
- 123 CAPCOM AVE SUITE 3 WAKE FOREST, NC 27587
- Mailing Phone
- (919) 570-5277
- Mailing Fax
- (919) 570-5377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2009
- Last Update Date
- 09-14-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Sleep Disorder Diagnostic
- Taxonomy Code
- 261QS1200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0882172
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- DR. DANIEL T. SICKING
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wakefield Medical Specialty Services Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417199811, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WAKE FOREST, NC 27587
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417199811, enumerated as an "organization" on March 31, 2009.
The provider is located at 123 CAPCOM AVE STE 3 WAKE FOREST, NC 27587 and the phone number is (919) 570-5277.
Clinic/Center with taxonomy code 261QS1200X and a focus in Sleep Disorder Diagnostic.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
