Organization Active NPI

Wakemed Surgery Center - Cary LLC

  • Ambulatory Surgical Clinic/Center
  • Cary, NC
National Provider Identifier
1124771985
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WAKEMED SURGERY CENTER - CARY LLC
Practice address
210 Ashville Ave Ste 505
Cary, NC 27518-6600
Phone
(860) 463-6383
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Stephanie Sessoms
Title
Executive VP, Finance & Cfo
Phone
(919) 350-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

210 Ashville Ave Ste 505
Cary, NC 27518-6600

Mailing address

210 Ashville Ave Ste 505
Cary, NC 27518-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221116001369 NC Part B Supplier - Ambulatory Surgical Center 3072981406 Practice locations: Cary, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wakemed Surgery Center CaryCCN 34C0001229
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2263617Wakemed Surgery Center - Cary210 Ashville Ave, Suite 505, Cary, NC 27518Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

210 Ashville Ave
Ste 505
Cary, NC 27518
Phone (984) 345-2650

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1124771985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ASHVILLE AVE STE 505",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ASHVILLE AVE STE 505",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186600",
            "telephone_number": "860-463-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEMED SURGERY CENTER - CARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SESSOMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE VP, FINANCE &  CFO",
        "authorized_official_telephone_number": "919-350-0522"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.