Wake Forest Ambulatory Ventures, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WAKE FOREST AMBULATORY VENTURES, LLC

Practice address

4515 Premier Dr Ste 102
High Point, NC 27265-8356

Phone

(336) 905-6355

Fax

(336) 878-6339

NPI assigned

May 28, 2025

Organization subpart

Yes

Parent organization

WAKE FOREST AMBULATORY VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Karen Towe

Title

Director Administrator

Phone

(704) 355-2000

Specialties & licenses 1

Addresses

Other names 1

• Atrium Health Wake Forest Baptist Surgery Center Premier Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • Winston-Salem, NC
  • NPI 1225568884

  3779846571

  Same PAC ID
• Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • High Point, NC
  • NPI 1245023654

  3779846571

  Same PAC ID

Tax ID family

Wake Forest Ambulatory Ventures LLC4 organizations share this tax ID, including this one

Part of

Wake Forest Ambulatory Ventures LLC

Other organizations with this tax ID 3

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

• Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • Winston-Salem, NC
  • NPI 1225568884
  NPD tax ID
• Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • High Point, NC
  • NPI 1245023654
  NPD tax ID
• Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
  • NPI 1992668008
  NPD tax ID

Member of 1

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

• North Carolina Baptist Hospital

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1881460855

  Member Of

  NPD member

Practitioners 1

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

• Nicholas Anthony Trasolini, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Winston Salem, NC
  • NPI 1417330242
  NPD (past)

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1164215570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DR STE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658356",
            "telephone_number": "336-905-6355",
            "fax_number": "336-878-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DR STE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658356",
            "telephone_number": "336-905-6355",
            "fax_number": "336-878-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST AMBULATORY VENTURES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST AMBULATORY VENTURES, LLC",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "TOWE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR ADMINISTRATOR",
        "authorized_official_telephone_number": "704-355-2000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Wake Forest Baptist Surgery Center Premier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• W. Earl Barbour, D.C.P.a.
• W.a. Clark D.D.S., P.L.L.C.
• Martha Wadlington
• Jill M Wagner, MD
• Lynda Jo Wagoner, RN
• Wake Forest Ambulatory Ventures, LLC
• Wake Forest Health Network LLC
• Wake Forest Health Network LLC
• Wake Forest Health Network LLC
• Wake Forest Health Network LLC

• Ambulatory Surgical Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.