WAKE MEDICAL ASSOCIATES, P.A.
NPI 1720192651
Preventive Medicine - Public Health & General Preventive Medicine in Raleigh, NC
NPI Status: Active since August 18, 2006
Contact Information
4505 FAIR MEADOWS LN
RALEIGH, NC
ZIP 27607
Phone: (919) 571-4391
Fax: (919) 571-8968
- Organization
- Preventive Medicine
- Public Health & General Preventive Medic...
- CLIA Number: 34D2160871
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-21-2027
About WAKE MEDICAL ASSOCIATES, P.A.
This page provides the complete NPI Profile along with additional information for Wake Medical Associates, P.a., a provider established in Raleigh, North Carolina operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1720192651 assigned on August 2006. The practitioner's primary taxonomy code is 2083P0901X with license number 31614 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Marcus W Gillikin Md, Mba (Consultant)
- NPI
- 1720192651
- Provider Name
- WAKE MEDICAL ASSOCIATES, P.A.
- Entity Type
- Organization
- Location Address
- 4505 FAIR MEADOWS LN RALEIGH, NC 27607
- Location Phone
- (919) 571-4391
- Location Fax
- (919) 571-8968
- Mailing Address
- PO BOX 30696 GREENVILLE, NC 27833
- Mailing Phone
- (252) 353-7162
- Mailing Fax
- (919) 571-8968
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31614
- License State
- NC
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2160871
- Facility Type
- Physician Office
- Certificate Effective Date
- January 22, 2025
- Certificate Expiration Date
- January 21, 2027
- Laboratory Director
- MATTHEW SNYDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wake Medical Associates, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720192651, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
RALEIGH, NC 27607
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720192651, enumerated as an "organization" on August 18, 2006.
The provider is located at 4505 FAIR MEADOWS LN RALEIGH, NC 27607 and the phone number is (919) 571-4391.
Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.
