WAKEMED CHILDRENS PEDIATRIC WEIGHT MANAGEMENT
NPI 1962067314
Pediatrics - Obesity Medicine in Raleigh, NC

Active since May 01, 2019
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 235-6439(919) 231-0314 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2019, May 1, 2019 (2 updates tracked since 2019).

About Wakemed Childrens Pediatric Weight Management NPPES

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

WAKEMED CHILDRENS PEDIATRIC WEIGHT MANAGEMENT (NPI 1962067314) is a healthcare organization registered as an obesity medicine in Raleigh, North Carolina and active in the NPI registry since May 2019. The organization lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1962067314
Entity TypeOrganization
Primary Taxonomy2080B0002X
Legal Business NameWAKEMED SPECIALISTS GROUP, LLC
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0552 · Fax (919) 350-7687
Fax(919) 231-0314
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateMay 1, 2019
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1962067314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
23 SUNNYBROOK RD, Raleigh, NC 27610

Other Names 1

Other NameWakemed Childrens Pediatric Weight Management

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wakemed Childrens Pediatric Weight Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

995

Medicare enrollment records show 995 clinicians reassign Medicare billing to Wakemed Childrens Pediatric Weight Management, which bills Medicare for the services they deliver. Of these, 43 practice at this address and 608 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner224
Internal Medicine132
Obstetrics/Gynecology62
Pediatric Medicine60
Physical Therapist in Private Practice49
Cardiovascular Disease (Cardiology)44
General Surgery40
Hospitalist40
41 other specialties344

Nearest to this location (20)

See all 995
Obstetrics/Gynecology
NPI 1437350154
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-6002
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1386608404
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-7584
✔ PECOSSame address
Clinical Psychologist
NPI 1063729614
23 SUNNYBROOK RD STE 200
Raleigh, NC 27610
(704) 905-8712
✔ PECOSSame address
Mental Health Counselor
NPI 1548643117
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 264-3479
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1376092106
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6439
✔ PECOSSame address
Nurse Practitioner
NPI 1598574022
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6435
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1801112305
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-6002
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1205299708
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6435
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1447975503
23 SUNNYBROOK RD STE 316
Raleigh, NC 27610
(919) 350-6002
✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1427354075
23 SUNNYBROOK RD STE 220
Raleigh, NC 27610
(919) 350-2873
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962805069
23 SUNNYBROOK RD SUITE 200
Raleigh, NC 27610
(919) 350-8797
✔ PECOSSame address
Mental Health Counselor
NPI 1063868412
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 235-6510
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1962230664
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-8000
Same address
Hematology/Oncology
NPI 1285045500
23 SUNNYBROOK RD STE 220
Raleigh, NC 27610
(919) 350-2873
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1346730637
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-1570
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1053750059
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-8797
✔ PECOSSame address
Hematology
NPI 1093276669
23 SUNNYBROOK RD STE 220
Raleigh, NC 27610
(287) 391-9350
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1750902193
23 SUNNYBROOK RD
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1598328916
23 SUNNYBROOK RD STE 310
Raleigh, NC 27610
(919) 350-1570
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1114303989
23 SUNNYBROOK RD SUITE 220
Raleigh, NC 27610
(919) 350-2873
✔ PECOS✔ Accepts MedicareSame address
See all 995 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wakemed Specialists Group, LLC's NPI number?

The NPI number for Wakemed Specialists Group, LLC is 1962067314. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is also known as Wakemed Childrens Pediatric Weight Management.

Where is Wakemed Specialists Group, LLC located?

Wakemed Specialists Group, LLC is located at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 235-6439.

What is Wakemed Specialists Group, LLC's specialty?

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

Is Wakemed Specialists Group, LLC enrolled in Medicare?

Yes. Wakemed Specialists Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wakemed Specialists Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 995 clinicians in 49 Medicare specialties reassign their Medicare billing to Wakemed Specialists Group, 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 Nurse Practitioner (224), Internal Medicine (132) and Obstetrics/Gynecology (62). Of these, 43 practice at this address and 608 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wakemed Specialists Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Wakemed Specialists Group, 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 Wakemed Specialists Group, LLC was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.