WAKEMED CHILDRENS PEDIATRICS CLAYTON
NPI 1588216253
Pediatrics in Clayton, NC

Active since July 12, 2019CLIA 34D2165547 · Waiver
204 MEDSPRING DR, CLAYTON, NC 27520(919) 235-6505(919) 350-8147 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2019, Aug 7, 2019, Jul 12, 2019 (3 updates tracked since 2019).

About Wakemed Childrens Pediatrics Clayton NPPES

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

WAKEMED CHILDRENS PEDIATRICS CLAYTON (NPI 1588216253) is a healthcare organization registered as a pediatrics in Clayton, North Carolina and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1588216253
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAKE SPECIALTY PHYSICIANS, LLC
Location Address204 MEDSPRING DRClayton, NC 27520-9293
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552 · Fax (919) 350-7687
Fax(919) 350-8147
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateJuly 12, 2019
Last NPPES UpdateDecember 12, 20193 updates tracked since enumeration
NPI 1588216253 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.

204 MEDSPRING DR, Clayton, NC 27520

Other Names 1

Doing Business AsWakemed Childrens Pediatrics Clayton

Other Identifiers 1

Medicaid1588216253NC

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

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 34D2165547

Wakemed Childrens Primary Care - Clayton · Clayton, NC
Active · expires Jan 5, 2028
CLIA Number34D2165547
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorLynne Wirth
Laboratory Phone(919) 350-7584
Laboratory LocationWakemed Childrens Primary Care - Clayton204 Medspring Drive Ste 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 5

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

Pediatrics
204 MEDSPRING DR
CLAYTON, NC 27520
Pediatrics (Adolescent Medicine)
204 MEDSPRING DR
CLAYTON, NC 27520
Pediatrics
204 MEDSPRING DR
CLAYTON, NC 27520
Nurse Practitioner (Pediatrics)
204 MEDSPRING DR
CLAYTON, NC 27520
Physical Medicine & Rehabilitation (Pain Medicine)
204 MEDSPRING DR
CLAYTON, NC 27520

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 Specialty Physicians, LLC's NPI number?

The NPI number for Wake Specialty Physicians, LLC is 1588216253. It was assigned to this organization in the NPPES registry on July 12, 2019. The provider is doing business as Wakemed Childrens Pediatrics Clayton.

Where is Wake Specialty Physicians, LLC located?

Wake Specialty Physicians, LLC is located at 204 Medspring Dr, Clayton, NC 27520. The listed phone number is (919) 235-6505.

What is Wake Specialty Physicians, LLC's specialty?

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

Does Wake Specialty Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2165547) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wake Specialty Physicians, 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 Wake Specialty Physicians, 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 Specialty Physicians, LLC was last updated on December 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.