WAKE FOREST BAPTIST IMAGING, LLC
NPI 1700490232
Clinic/Center in Kernersville, NC
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 2 active CLIA laboratory certificates and lists Amy Stout, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wake Forest Baptist Imaging, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
174Medicare enrollment records show 174 clinicians reassign Medicare billing to Wake Forest Baptist Imaging, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 174Winston Salem, NC 27157
Winston Salem, NC 27157
Winston Salem, NC 27157
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 2
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 34D2288188
Wake Forest Baptist Imaging Friendly Center · Greensboro, NCCertificate of Waiver 34D1093905
Wake Forest Baptist Imaging, LLC · Winston-Salem, NCFrequently 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.
Is Wake Forest Baptist Imaging, LLC enrolled in Medicare?
Yes. Wake Forest Baptist Imaging, LLC is registered in the Medicare PECOS enrollment system.
When is Wake Forest Baptist Imaging, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wake Forest Baptist Imaging, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 174 clinicians in 3 Medicare specialties reassign their Medicare billing to Wake Forest Baptist Imaging, 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 (164), Interventional Radiology (9) and Nuclear Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wake Forest Baptist Imaging, LLC hold CLIA laboratory certificates?
Yes. 2 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 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.
# Wake Forest Baptist Imaging, Llc · NPI 1700490232
Clinic/Center organization in Kernersville, North Carolina. Organization record, active in the CMS NPPES registry since September 2, 2020.
## Identity
- **NPI:** 1700490232 (Entity type: Organization)
- **Enumerated:** September 2, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Atrium Health Wake Forest Baptist Imaging - Kernersville (Doing Business As)
- **Organization subpart:** Yes (part of Wake Forest Baptist Imaging, Llc)
- **Authorized official:** Amy Stout, PRESIDENT/CEO
## Practice location
- **Address:** 861 OLD WINSTON RD STE 105, Kernersville, NC 27284-7141
- **Phone:** (336) 765-5722 · **Fax:** (336) 765-5723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 174 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (164), Interventional Radiology (9), Nuclear Medicine (1); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1700490232/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700490232) · Data from the CMS NPPES public registry.