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WAKEMED PRIMARY CARE HOLLY SPRINGS
NPI 1740702497
Family Medicine in Holly Springs, NC

Active since July 14, 2017CLIA 34D2170524 · Waiver
101 COTTEN LN, HOLLY SPRINGS, NC 27540(919) 235-6555(919) 235-6584 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2019, Jul 14, 2017 (2 updates tracked since 2017).

About Wakemed Primary Care Holly Springs NPPES

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

WAKEMED PRIMARY CARE HOLLY SPRINGS (NPI 1740702497) is a healthcare organization registered as a family medicine in Holly Springs, North Carolina and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1740702497
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address101 COTTEN LNHolly Springs, NC 27540-8415
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552 · Fax (919) 350-7687
Phone(919) 235-6555
Fax(919) 235-6584
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateJuly 14, 2017
Last NPPES UpdateAugust 8, 20192 updates tracked since enumeration
✔ NPI 1740702497 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
101 COTTEN LN, Holly Springs, NC 27540
Open in Google Maps ↗

Other Names 1

Doing Business AsWakemed Primary Care Holly Springs

Other Identifiers 1

Medicaid1740702497NC

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 and more.Insurance ›

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 34D2170524

Wakemed Primary Care - Holly Springs · Holly Springs, NC
Active · expires Jan 30, 2027
CLIA Number34D2170524
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorJennifer Phifer
Laboratory Phone(919) 350-7180
Laboratory LocationWakemed Primary Care - Holly Springs101 Cotten Lane, Holly Springs, NC 27540
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

GREGG CHARLES LOWERY DO
Family Medicine
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
DR. BRIANNA NICOLE FRAME MD
Obstetrics & Gynecology
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456
SCOTT JACOB BARTKOSKI M.D,
Family Medicine
101 COTTEN LN, ST 2
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
STEPHANIE WATKINS HELFRICH FNP
Nurse Practitioner (Family)
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
STEPHANIE ANNE-LAMAR EHLERS CNM
Advanced Practice Midwife
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456
MRS. MONICA LASHONDA MCLAUGHLIN FNP
Nurse Practitioner (Family)
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456
VIDUSHI MEHROTRA D.O.
Family Medicine
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
DR. LI XU MD
Obstetrics & Gynecology
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456

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 1740702497. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is doing business as Wakemed Primary Care Holly Springs.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 101 Cotten Ln, Holly Springs, NC 27540. The listed phone number is (919) 235-6555.

What is Wake Specialty Physicians LLC's specialty?

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

Does Wake Specialty Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2170524) is associated with this NPI, valid through January 30, 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 from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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 August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.