NPIMap

Organization Active NPI

Wake Forest Health Network, LLC

Doing business as Atrium Health Levine Children's Pediatrics Northwest

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1053175299
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WAKE FOREST HEALTH NETWORK, LLC
Doing business as
Atrium Health Levine Children's Pediatrics Northwest
Practice address
4529 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone
(336) 605-0190
Fax
(336) 605-0930
NPI assigned
Feb 8, 2024
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKE FOREST HEALTH NETWORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig Michael Greven
Title
Sr VP Clinical Operations
Phone
(336) 716-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4529 Jessup Grove Rd
Greensboro, NC 27410-9407

Mailing address

4529 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone (336) 605-0190

Other names 1

  • Atrium Health Levine Children's Pediatrics Northwest Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000868 NC Part B Supplier - Clinic/Group Practice 4183538895 Receives reassigned benefits from 690 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC…

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Helth Care55 organizations share this tax ID, including this one
Part of
Cornerstone Helth Care

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations (25 of 35)

542 White Oak St
Ste A
Asheboro, NC 27203
Phone (336) 629-4176

1002 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 275-0919

1311 N Elm St
Ste A
Greensboro, NC 27401
Phone (336) 378-9993

2359 Springs Rd NE
Hickory, NC 28601
Phone (828) 210-2803

1814 Westchester Dr
Ste 301A
High Point, NC 27262
Phone (336) 802-2170

1814 Westchester Dr
Ste 402
High Point, NC 27262
Phone (336) 802-5505

308 Boulevard St
#A
High Point, NC 27262
Phone (336) 802-2175

308 Boulevard St
#B
High Point, NC 27262
Phone (336) 802-2185

308B Boulevard St
High Point, NC 27262
Phone (336) 802-2185

318 Westwood Ave
High Point, NC 27262
Phone (336) 802-2065

4515 Premier Dr
#100
High Point, NC 27265
Phone (336) 802-2250

4515 Premier Dr
Ste 202A
High Point, NC 27265
Phone (336) 802-2117

4515 Premier Dr
Ste 203
High Point, NC 27265
Phone (336) 802-2200

4515 Premier Dr
Ste 300A
High Point, NC 27265
Phone (336) 802-2080

4515 Premier Dr
Ste 301
High Point, NC 27265

4515 Premier Dr
Ste 307A
High Point, NC 27265
Phone (336) 702-2377

624 Quaker Ln
Ste 100C
High Point, NC 27262
Phone (336) 802-2035

624 Quaker Ln
Ste 100D
High Point, NC 27262
Phone (336) 802-2090

624 Quaker Ln
Ste 100E
High Point, NC 27262
Phone (336) 878-6042

624 Quaker Ln
Ste 101A
High Point, NC 27262
Phone (336) 884-8444

624 Quaker Ln
Ste 104C
High Point, NC 27262
Phone (336) 802-2397

624 Quaker Ln
Ste 200E
High Point, NC 27262
Phone (336) 802-2025

624 Quaker Ln
Ste 201A
High Point, NC 27262
Phone (336) 884-8444

624 Quaker Ln
Ste 206C
High Point, NC 27262
Phone (336) 802-2080

624 Quaker Ln
Ste 210A
High Point, NC 27262
Phone (336) 884-8444

Practitioners & affiliated clinicians

Practitioners 688

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1053175299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 JESSUP GROVE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109407",
            "telephone_number": "336-605-0190",
            "fax_number": "336-605-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 JESSUP GROVE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109407",
            "telephone_number": "336-605-0190",
            "fax_number": "336-605-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST HEALTH NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST HEALTH NETWORK, LLC",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "GREVEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SR VP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "336-716-1331"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Levine Children's Pediatrics Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.