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WAKE FOREST BAPTIST IMAGING, LLC
NPI 1700490232
Clinic/Center in Kernersville, NC

Active since September 02, 2020CLIA Certified · 3 labs
861 OLD WINSTON RD STE 105, KERNERSVILLE, NC 27284(336) 765-5722(336) 765-5723 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Dec 10, 2024, May 13, 2024 and 3 more (6 updates tracked since 2020).

About Wake Forest Baptist Imaging, Llc NPPES

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

WAKE FOREST BAPTIST IMAGING, LLC (NPI 1700490232), doing business as Atrium Health Wake Forest Baptist Imaging - Kernersville, is a healthcare organization registered as a clinic/center in Kernersville, North Carolina and active in the NPI registry since September 2020. The organization holds 3 active CLIA laboratory certificates and lists Amy Stout, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1700490232
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWAKE FOREST BAPTIST IMAGING, LLC
Location Address861 OLD WINSTON RD STE 105Kernersville, NC 27284-7141
Mailing Address800 Crescent Centre Dr Ste 400Franklin, TN 37067-7270 · (615) 261-2306 · Fax (855) 588-3545
Phone(336) 765-5722
Fax(336) 765-5723
Organization SubpartYes
Authorized OfficialAmy StoutPresident/ceo · (615) 261-2306
Enumeration DateSeptember 2, 2020
Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1700490232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
861 OLD WINSTON RD STE 105, Kernersville, NC 27284
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Other Names 1

Doing Business AsAtrium Health Wake Forest Baptist Imaging - Kernersville

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 34D2161280

Wake Forest Baptist Imaging Kernersville · Kernersville, NC
Active · expires Jan 29, 2027
CLIA Number34D2161280
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorSharon Martin
Laboratory Phone(336) 765-5722
Laboratory LocationWake Forest Baptist Imaging Kernersville861 Old Winston Road, Suite 105, Kernersville, NC 27284
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2288188

Wake Forest Baptist Imaging Friendly Center · Greensboro, NC
Active · expires Aug 22, 2027
CLIA Number34D2288188
Laboratory TypeOutpatient Imaging Clinic
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorAnita Morgan
Laboratory Phone(336) 765-5722
Laboratory LocationWake Forest Baptist Imaging Friendly Center3120 Northline Avenue, Suite 101, Greensboro, NC 27408
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1093905

Wake Forest Baptist Imaging, LLC · Winston-Salem, NC
Active · expires Jan 5, 2027
CLIA Number34D1093905
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorAnita Morgan
Laboratory Phone(336) 765-5722
Laboratory LocationWake Forest Baptist Imaging, LLC265 Executive Park Boulevard, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
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 Forest Baptist Imaging, LLC's NPI number?

The NPI number for Wake Forest Baptist Imaging, LLC is 1700490232. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Atrium Health Wake Forest Baptist Imaging - Kernersville.

Where is Wake Forest Baptist Imaging, LLC located?

Wake Forest Baptist Imaging, LLC is located at 861 Old Winston Rd Ste 105, Kernersville, NC 27284. The listed phone number is (336) 765-5722.

What is Wake Forest Baptist Imaging, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Wake Forest Baptist Imaging, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wake Forest Baptist Imaging, LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Wake Forest Baptist Imaging, 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 Baptist Imaging, LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.