Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WAKEMED
Active
Organization
WAKEMED
Active
Other names
WakeMed Professional Physicians Staff
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA E. ANDREWS (VP, FINANCE)
(919) 350-8344
Entity
Organization
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
(919) 350-0559
Mailing address
3000 NEW BERN AVE, MANAGED CARE CONTRACTING DEPT., RALEIGH, NC 27610-1231
(919) 350-0558
(919) 350-0559
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194907717
—
NC
05
—
890770G
—
NC
Enumeration date
12/05/2007
Last updated
01/23/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up