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

Q: 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.

Q: What is Wake Forest Health Network LLC's specialty?

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

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: November 01, 2026.

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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 Health, Ambetter of North Carolina and more.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)

Wake Forest Health Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

582

Medicare enrollment records show 582 clinicians reassign Medicare billing to Wake Forest Health Network LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 79 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Diagnostic Radiology141

Nurse Practitioner98

Family Practice67

Internal Medicine43

Pediatric Medicine24

Hospitalist21

Neurology17

Obstetrics/Gynecology16

34 other specialties155

Nearest to this location (20)

See all 582

Larry Durham, PT

Physical Therapist in Private Practice

NPI 1780692053

861 OLD WINSTON RD
Kernersville, NC 27284

(336) 713-3500

✔ Accepts MedicareSame address

Leslie Smith, MD

Pediatric Medicine

NPI 1356388540

861OLD WINSTON ROAD SUITE 103
Kernersville, NC 27284

(336) 802-2300

✔ PECOSSame address

Amy Wallace, MD

Pediatric Medicine

NPI 1467487322

861 OLD WINSTON RD STE 101
Kernersville, NC 27284

(336) 904-0143

✔ PECOSSame address

Kimberly Ward, FNP-C

Nurse Practitioner

NPI 1194269241

861 OLD WINSTON RD STE 101
Kernersville, NC 27284

(336) 702-5747

✔ PECOS✔ Accepts MedicareSame address

Bartley Weaver, DO

Pediatric Medicine

NPI 1013596055

861 OLD WINSTON RD STE 103
Kernersville, NC 27284

(336) 802-2300

✔ PECOS✔ Accepts MedicareSame address

Margaret Weaver, DO

Internal Medicine

NPI 1689253866

861 OLD WINSTON RD STE 101
Kernersville, NC 27284

(336) 904-0043

✔ PECOS✔ Accepts MedicareSame address

Brandi Jordan, N.P.

Nurse Practitioner

NPI 1417299603

861 OLD WINSTON RD
Kernersville, NC 27284

(336) 802-2536

✔ PECOSSame address

Biju Babu, MD

Family Practice

NPI 1437894144

861 OLD WINSTON RD STE 101
Kernersville, NC 27284

(336) 904-0043

✔ PECOSSame address

Rebecca Ball, MD

Pediatric Medicine

NPI 1205836541

861 OLD WINSTON RD STE 101
Kernersville, NC 27284

(336) 904-0143

✔ PECOSSame address

Julie Jordan, NP-C

Nurse Practitioner

NPI 1790056075

900 OLD WINSTON RD
Kernersville, NC 27284

(336) 713-8077

✔ PECOS✔ Accepts Medicare0.2 mi

Laura Cole, N.P.

Nurse Practitioner

NPI 1841549664

1101 S MAIN ST
Kernersville, NC 27284

(336) 766-0324

✔ PECOS✔ Accepts Medicare0.4 mi

Carla Price, FNP-BC

Nurse Practitioner

NPI 1609592427

1105 S MAIN ST
Kernersville, NC 27284

(336) 996-4021

✔ PECOS✔ Accepts Medicare0.5 mi

Mishi Jackson, MD

Family Practice

NPI 1215006192

1471 JAG BRANCH BLVD UNIT 103
Kernersville, NC 27284

(336) 515-7410

✔ PECOS✔ Accepts Medicare2.3 mi

Ahunna Okwubunka Anyim, MD

Family Practice

NPI 1023216199

1635 NC HIGHWAY 66 S STE 235
Kernersville, NC 27284

(336) 992-4800

✔ PECOS2.7 mi

Kristin Patel, M.D.

Ophthalmology

NPI 1326452525

1695 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284

(336) 515-5000

✔ PECOS2.8 mi

James Dasher, MD

General Surgery

NPI 1780615799

1730 KERNERSVILLE MEDICAL PKWY STE 101
Kernersville, NC 27284

(336) 564-4950

✔ PECOS✔ Accepts Medicare3.1 mi

Thomas Walsh, MD

General Surgery

NPI 1831124254

1730 KERNERSVILLE MEDICAL PKWY STE 101
Kernersville, NC 27284

(336) 564-4950

✔ PECOS3.1 mi

Slade Moore, M.D.

Orthopedic Surgery

NPI 1144286592

1730 KERNERSVILLE MEDICAL PKWY STE 204
Kernersville, NC 27284

(336) 277-4460

✔ PECOS✔ Accepts Medicare3.1 mi

Anatole Hounnou, D.O.

Hospitalist

NPI 1922399930

1750 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284

(336) 564-4866

✔ PECOS✔ Accepts Medicare3.1 mi

Davette Williams, RN

Nurse Practitioner

NPI 1265727192

1750 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284

(336) 802-2145

✔ PECOS3.1 mi

See all 582 clinicians

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

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.

Is Wake Forest Health Network LLC enrolled in Medicare?

Yes. Wake Forest Health Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Forest Health Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 582 clinicians in 42 Medicare specialties reassign their Medicare billing to Wake Forest Health Network 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 Diagnostic Radiology (141), Nurse Practitioner (98) and Family Practice (67). Of these, 9 practice at this address and 79 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer 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 13 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.