Wake Forest Health Network LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAKE FOREST HEALTH NETWORK LLC

Doing business as

Atrium Health Wake Forest Baptist Family Medicine - Thomasville

Practice address

711 National Hwy Ste 500
Thomasville, NC 27360-2669

Phone

(336) 475-9164

Fax

(336) 475-6619

NPI assigned

Sep 24, 2010

Last updated

Sep 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Michael Greven, MD

Title

Sr VP Clinical Operations

Phone

(336) 716-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atrium Health Wake Forest Baptist Family Medicine - Thomasville Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Stephen Andrew Banks, DNP, FNP

  • Nurse Practitioner
  • Thomasville, NC
  • NPI 1912684655
  NPD
• Alexis Olivia Caudle, FNP-C

  • Family Nurse Practitioner
  • High Point, NC
  • NPI 1871221697

  Family Medicine

  NPD
• Jessica Rose Conner

  • Family Nurse Practitioner
  • Thomasville, NC
  • NPI 1992319115
  NPD
• Sarah Claire McCullough, DO

  • Family Medicine Physician
  • Thomasville, NC
  • NPI 1619405859
  NPD
• Bowen Niu

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1871026914
  NPD
• Elizabeth Faye Skidmore, MD

  • Family Medicine Physician
  • Thomasville, NC
  • NPI 1013337674
  NPD

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1073822029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NATIONAL HWY STE 500",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602669",
            "telephone_number": "336-475-9164",
            "fax_number": "336-475-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NATIONAL HWY STE 500",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602669",
            "telephone_number": "336-475-9164",
            "fax_number": "336-475-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "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",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916539",
            "state": "NC"
        }
    ],
    "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 Wake Forest Baptist Family Medicine - Thomasville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rheannon Lee Varker
• Emily Vernon, LCSWA
• Vicki C. Steed, LCSW
• Jacob Wagner, ATC
• Asif Wahid, MD
• Wake Forest University Health Sciences
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3503)
• Wal-Mart Stores East, LP (Vision Center 30-3503)
• Walgreen Co (Walgreens #17509)
• Walgreen Co (Rite Aid #11344)

• Family Medicine Physician in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Family Medicine Physician in North Carolina

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.