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WAKE FOREST HEALTH NETWORK LLC
NPI 1487879177
Pediatrics in Kernersville, NC

Active since April 16, 2007
861 OLD WINSTON RD, SUITE 103, KERNERSVILLE, NC 27284(336) 802-2300(336) 802-2301 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wake Forest Health Network Llc NPPES

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

WAKE FOREST HEALTH NETWORK LLC (NPI 1487879177), doing business as Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com, is a healthcare organization registered as a pediatrics in Kernersville, North Carolina and active in the NPI registry since April 2007. The organization lists Craig Michael Greven, Sr Vp Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1487879177
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAKE FOREST HEALTH NETWORK LLC
Location Address861 OLD WINSTON RD, SUITE 103Kernersville, NC 27284
Mailing Address861 Old Winston Rd Ste 103Kernersville, NC 27284-7141 · (336) 802-2300 · Fax (336) 802-2301
Phone(336) 802-2300
Fax(336) 802-2301
Organization SubpartNo
Authorized OfficialCraig Michael GrevenSr Vp Clinical Operations · (336) 716-1331
Enumeration DateApril 16, 2007
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1487879177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
861 OLD WINSTON RD, Kernersville, NC 27284
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Other Names 1

Doing Business AsAtrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 ›

Other Providers at the Same Location NPPES 12

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

SHELLY WARREN DARTY PAC
Physician Assistant
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 802-2300
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Durable Medical Equipment & Medical Supplies
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 716-8091
GREG ROSENBERG
Physical Therapist (Sports)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 713-3500
BENJAMIN EDWARD KANZIGG
Physical Therapist
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 765-5722
BRITTANY MICHELLE ANDRADE DPT
Physical Therapist
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 713-3500
BRANDI FOSTER JORDAN N.P.
Nurse Practitioner (Pediatrics)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 802-2536
CARLY MICHELLE LARSON PA-C
Physician Assistant
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 716-8091
MR. LANCE WARD DPT
Physical Therapist (Sports)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Forsyth County (336) 716-8400

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 Forest Health Network LLC's NPI number?

The NPI number for Wake Forest Health Network LLC is 1487879177. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com.

Where is Wake Forest Health Network LLC located?

Wake Forest Health Network LLC is located at 861 Old Winston Rd Suite 103, Kernersville, NC 27284. The listed phone number is (336) 802-2300.

What is Wake Forest Health Network LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Wake Forest Health Network 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 Forest Health Network LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.