Organization Active NPI

Carolina Pilonidal Center

  • Surgery Physician
  • Cary, NC
National Provider Identifier
1124835178
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CAROLINA PILONIDAL CENTER
Practice address
400 Ashville Ave Ste 200B
Cary, NC 27518-6134
Phone
(919) 858-7020
NPI assigned
Dec 13, 2024
Organization subpart
Yes
Parent organization
ST JOSEPH HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
George M Wadie, MDNPI 1831121367
Title
Surgeon
Phone
(860) 966-1674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

400 Ashville Ave Ste 200B
Cary, NC 27518-6134

Mailing address

400 Ashville Ave Ste 200B
Cary, NC 27518-6134

Other names 1

  • Carolina Pilonidal Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Health PLLC2 organizations share this tax ID, including this one
Part of
St Joseph Health PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1124835178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE STE 200B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE STE 200B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-858-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PILONIDAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH HEALTH PLLC",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "WADIE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "860-966-1674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pilonidal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.