Wakemed Specialists Group LLC
Organization Active NPI Neurology with Special Qualifications in Child Neurology Physician · Raleigh, NC
NPI 1003751900 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1003751900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- Legal business name
- WAKEMED SPECIALISTS GROUP LLC
- Practice address
- 23 Sunnybrook Rd
Raleigh, NC 27610-1855 - Phone
- (919) 350-8000
- NPI assigned
- Apr 20, 2026
- Organization subpart
- No
Authorized official
- Name
- Karen Revicki Perry
- Title
- Executive Director Operations WPP
- Phone
- (919) 350-9713
Corporate family (same tax ID) 35
National Provider Directory
- Tax ID family
- Wakemed Specialists Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | |||
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | Yes |
Addresses
Primary practice location
23 Sunnybrook Rd
Raleigh, NC 27610-1855
Mailing address
PO Box 808800
Kansas City, MO 64180-8800
Phone (877) 498-4490
Other names
- WakeMed Children's -Pediatric Neurology
Other providers in Raleigh, NC
- Wakemed Faculty Practice Plan
- Wakemed Health & Hospitals
- Wakemed Op LLC
- Wakemed Op LLC
- Wakemed Op LLC
- Wakemed Specialists Group LLC
- Wakemed Specialists Group LLC
- Wakemed Specialists Group LLC
- Wakemed Specialists Group LLC
- Wakemed Specialists Group LLC
All providers in Raleigh, NC · Neurology with Special Qualifications in Child Neurology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.