WAKE FOREST BAPTIST IMAGING, LLC
NPI 1972763357
Clinic/Center - Radiology in Winston Salem, NC
NPI Status: Active since June 10, 2008
Contact Information
265 EXECUTIVE PARK BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-5722
Fax: (336) 765-5723
- Organization
- Clinic/Center
- Radiology
- Accepts Insurance
- CLIA Number: 34D1093905
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 01-05-2027
About WAKE FOREST BAPTIST IMAGING, LLC
This page provides the complete NPI Profile along with additional information for Wake Forest Baptist Imaging, Llc, a provider established in Winston Salem, North Carolina operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1972763357 assigned on June 2008. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated December 2025. Wake Forest Baptist Imaging, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1972763357
- Provider Legal Name
- WAKE FOREST BAPTIST IMAGING, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 265 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103
- Location Phone
- (336) 765-5722
- Location Fax
- (336) 765-5723
- Mailing Address
- 800 CRESCENT CENTRE DR STE 400 FRANKLIN, TN 37067
- Mailing Phone
- (615) 261-2306
- Mailing Fax
- (336) 765-5723
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2008
- Last Update Date
- 12-16-2025
- Code Navigator
Location Map
Secondary Locations
- 3120 Northline Ave Ste 3120-101
Greensboro, NC 27408
(336) 765-5722
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
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
- Bronze Simple Chronic Care CKM | with Atrium Health - HMO
- Bronze Simple Diabetes | with Atrium Health - HMO
- Gold Classic Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5912396 | MEDICAID (05) | NC | |
| D06298 | OTHER (01) | NC | RAILROAD MEDICARE |
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
- 34D1093905
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- January 06, 2025
- Certificate Expiration Date
- January 05, 2027
- Laboratory Director
- ANITA MORGAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wake Forest Baptist Imaging, Llc 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 1972763357, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972763357, enumerated as an "organization" on June 10, 2008.
The provider is located at 265 EXECUTIVE PARK BLVD WINSTON SALEM, NC 27103 and the phone number is (336) 765-5722.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.
