WAKEMED MYCARE 365 PRIMARY CARE & URGENT CARE
NPI 1699361618
Family Medicine in Zebulon, NC

Active since December 14, 2020CLIA 34D2216913 · Waiver
1260 N ARENDELL AVE, ZEBULON, NC 27597(919) 235-1965(919) 235-1326 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2022, Apr 22, 2021, Dec 15, 2020 (3 updates tracked since 2020).

About Wakemed Mycare 365 Primary Care & Urgent Care NPPES

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

WAKEMED MYCARE 365 PRIMARY CARE & URGENT CARE (NPI 1699361618) is a healthcare organization registered as a family medicine in Zebulon, North Carolina and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Shondra Lynn Brink, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1699361618
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS, LLC
Location Address1260 N ARENDELL AVEZebulon, NC 27597-8730
Mailing Address1260 N Arendell AveZebulon, NC 27597-8730 · (919) 235-1965 · Fax (919) 235-1326
Fax(919) 235-1326
Organization SubpartNo
Authorized OfficialShondra Lynn BrinkVp Of Operations · (919) 350-6045
Enumeration DateDecember 14, 2020
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1699361618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1260 N ARENDELL AVE, Zebulon, NC 27597

Other Names 1

Doing Business AsWakemed Mycare 365 Primary Care & Urgent Care

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

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 Mycare 365 Primary Care & Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

213

Medicare enrollment records show 213 clinicians reassign Medicare billing to Wakemed Mycare 365 Primary Care & Urgent Care, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Family Practice74
Nurse Practitioner61
Internal Medicine35
Pediatric Medicine28
Registered Dietitian or Nutrition Professional11
Advanced Heart Failure and Transplant Cardiology1
Cardiovascular Disease (Cardiology)1
Emergency Medicine1
1 other specialty1

Nearest to this location (20)

See all 213
Family Practice
NPI 1336254515
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1965
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154210672
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1965
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609503960
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1965
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174440978
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1965
✔ PECOSSame address
Nurse Practitioner
NPI 1881305829
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1965
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700461662
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1326
✔ PECOSSame address
Nurse Practitioner
NPI 1902113541
1260 N ARENDELL AVE
Zebulon, NC 27597
(919) 235-1965
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1497336713
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1538608666
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS8.9 mi
Family Practice
NPI 1851334163
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts Medicare8.9 mi
Family Practice
NPI 1477755841
901 OLD KNIGHT RD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts Medicare8.9 mi
Family Practice
NPI 1366678377
7124 KNIGHTDALE BLVD
Knightdale, NC 27545
(919) 266-6211
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1124496633
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1205861093
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts Medicare11 mi
Registered Dietitian or Nutrition Professional
NPI 1932185378
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1538511753
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1679077796
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6550
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1699090159
1655 WAKE DR UNIT 101
Wake Forest, NC 27587
(919) 556-4779
✔ PECOS14 mi
Internal Medicine
NPI 1760430144
1030 SIENA DR
Wake Forest, NC 27587
(919) 235-6540
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1437714003
1030 SIENA DR
Wake Forest, NC 27587
(919) 235-6511
✔ PECOS15 mi
See all 213 clinicians

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 34D2216913

Wakemed Mycare 365 Primary Care And Urgent Care - Zebulon · Zebulon, NC
Active · expires Mar 16, 2027
CLIA Number34D2216913
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorTheodore Scott Derse
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Mycare 365 Primary Care And Urgent Care - Zebulon1260 N Arendell Ave, Zebulon, NC 27597
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1699361618. It was assigned to this organization in the NPPES registry on December 14, 2020. The provider is doing business as Wakemed Mycare 365 Primary Care & Urgent Care.

Where is Wake Specialty Physicians, LLC located?

Wake Specialty Physicians, LLC is located at 1260 N Arendell Ave, Zebulon, NC 27597. The listed phone number is (919) 235-1965.

What is Wake Specialty Physicians, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wake Specialty Physicians, LLC enrolled in Medicare?

Yes. Wake Specialty Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Specialty Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 213 clinicians in 9 Medicare specialties reassign their Medicare billing to Wake Specialty Physicians, 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 Family Practice (74), Nurse Practitioner (61) and Internal Medicine (35). Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 34D2216913) is associated with this NPI, valid through March 16, 2027. 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 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 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 January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.