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WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT
NPI 1710434691
Pediatrics - Obesity Medicine in Raleigh, NC

Active since September 08, 2016
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 350-6439(919) 231-0314 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Feb 14, 2018, Sep 12, 2016 (3 updates tracked since 2016).

About Wakemed Physician Practices Pediatric Weight Management NPPES

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

WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT (NPI 1710434691) is a healthcare organization registered as an obesity medicine in Raleigh, North Carolina and active in the NPI registry since September 2016. The organization lists Maria Jayoussi, Executive Director, Finance, as its authorized official.

NPPES Registry Identity

NPI1710434691
Entity TypeOrganization
Primary Taxonomy2080B0002X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0554
Phone(919) 350-6439
Fax(919) 231-0314
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director, Finance · (919) 350-6089
Enumeration DateSeptember 8, 2016
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1710434691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080B0002X
Definition
A pediatrician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Also ListedPediatricsTaxonomy 208000000X
23 SUNNYBROOK RD, Raleigh, NC 27610
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Other Names 2

Doing Business AsWakemed Physician Practices Pediatric Weight Management
Doing Business AsWakemed Pediatric Weight Management

Other Identifiers 1

Medicaid1942440373NC

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 20

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

WAKEMED SPECIALISTS GROUP LLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8000
JEFF LAWRENCE KANTOR MD
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6435
VESHANA SINTHAL RAMIAH MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-7193
DR. COLIN BRUCE MUNCIE M.D.
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8797
MRS. ALESIA PERKINS GILMORE MS, LCMHC, LPC
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6510
MRS. ELLEN ROBIA HOLLOWAY PA-C
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
ASTHA THAKKAR MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
LITASHA WILSON
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 212-3011

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 1710434691. It was assigned to this organization in the NPPES registry on September 8, 2016. The provider is doing business as Wakemed Physician Practices Pediatric Weight Management and WakeMed Pediatric Weight Management.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 350-6439.

What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Obesity Medicine, with taxonomy code 2080B0002X.

What insurance does Wake Specialty Physicians LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee 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 June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.