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WAKE FOREST PEDIATRIC ASSOCIATES, PLLC
NPI 1790782126
Pediatrics in Wake Forest, NC

Active since June 30, 2005CLIA 34D0913096 · Certificate of Compliance
1655 WAKE DRIVE, SUITE 101, WAKE FOREST, NC 27587(919) 556-1541(919) 556-5277 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wake Forest Pediatric Associates, Pllc NPPES

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

WAKE FOREST PEDIATRIC ASSOCIATES, PLLC (NPI 1790782126) is a healthcare organization registered as a pediatrics in Wake Forest, North Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Certificate of Compliance certificate valid through February 12, 2028 and lists Naomi Weinstein, Manager Of Corp, as its authorized official.

NPPES Registry Identity

NPI1790782126
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAKE FOREST PEDIATRIC ASSOCIATES, PLLC
Location Address1655 WAKE DRIVE, SUITE 101Wake Forest, NC 27587-7324
Mailing Address1655 Wake Drive, Suite 101Wake Forest, NC 27587-7324 · (919) 556-1541 · Fax (919) 556-5277
Phone(919) 556-1541
Fax(919) 556-5277
Organization SubpartNo
Authorized OfficialNaomi WeinsteinManager Of Corp · (919) 556-1541
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1790782126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1655 WAKE DRIVE, Wake Forest, NC 27587
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Other Identifiers 1

Medicaid89012T6NC

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 Blue Cross and Blue Shield of NC.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 Compliance 34D0913096

Wake Forest Pediatric Associates, PLLC · Wake Forest, NC
Active · expires Feb 12, 2028
CLIA Number34D0913096
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorKimberly J. Davis
Laboratory Phone(919) 556-4779
Laboratory LocationWake Forest Pediatric Associates, PLLC1655 Wake Drive, Suite 101, Wake Forest, NC 27587
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

REBECCA K DALLAS CPNP
Nurse Practitioner (Pediatrics)
1655 WAKE DRIVE, SUITE 101
WAKE FOREST, NC 27587
Wake County (919) 556-4779
BARBARA A BRANDES MD
Pediatrics
1655 WAKE DRIVE, SUITE 101
WAKE FOREST, NC 27587
Wake County (919) 556-1541
PETER ERCOLINO MD
Pediatrics
1655 WAKE DRIVE, STE 101
WAKE FOREST, NC 27587
Wake County (919) 556-4779
NAOMI WEINSTEIN MD
Pediatrics
1655 WAKE DRIVE, STE 101
WAKE FOREST, NC 27587
Wake County (919) 556-4779
KIMBERLY DAVIS MD
Pediatrics
1655 WAKE DRIVE, STE 101
WAKE FOREST, NC 27587
Wake County (919) 556-4779

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 Pediatric Associates, PLLC's NPI number?

The NPI number for Wake Forest Pediatric Associates, PLLC is 1790782126. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Wake Forest Pediatric Associates, PLLC located?

Wake Forest Pediatric Associates, PLLC is located at 1655 Wake Drive Suite 101, Wake Forest, NC 27587. The listed phone number is (919) 556-1541.

What is Wake Forest Pediatric Associates, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Wake Forest Pediatric Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0913096) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wake Forest Pediatric Associates, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Wake Forest Pediatric Associates, PLLC 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 Pediatric Associates, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.