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Organization Active NPI

Wake Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1285698126
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WAKE RADIOLOGY CONSULTANTS PA
Practice address
3949 Browning PL
Raleigh, NC 27609-6536
Phone
(919) 787-8221
Fax
(919) 881-2079
NPI assigned
Apr 17, 2006
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jennifer Thomas
Title
Credentialing Manager
Phone
(919) 788-7900

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085D0003X
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Pediatric Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085P0229X
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

3949 Browning PL
Raleigh, NC 27609-6536

Mailing address

PO Box 19368
Raleigh, NC 27619-9368
Phone (919) 787-8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, MA, WA, AZ, NE6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040206000407 NC Part B Supplier - Clinic/Group Practice 4385537992 Receives reassigned benefits from 76 practitioners
Practice locations: Morrisville, NC; Raleigh, NC; Smithfield, NC; Holly Springs, NC; Apex, NC; Cary, NC; Knightdale, NC; Clayton, NC…
O20260205001333 SC Part B Supplier - Clinic/Group Practice 4385537992 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC
O20260210001890 MA Part B Supplier - Clinic/Group Practice 4385537992 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, MA
O20260217000779 WA Part B Supplier - Clinic/Group Practice 4385537992 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA
O20260219000742 AZ Part B Supplier - Clinic/Group Practice 4385537992 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20260224000266 NE Part B Supplier - Clinic/Group Practice 4385537992 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

1059 Beaver Creek Commons Dr
#150
Apex, NC 27502

4111 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 719-8834

800 Benson Rd
Ste 40
Garner, NC 27529
Phone (919) 662-9500

1520 Sunday Dr
Ste 117
Raleigh, NC 27607

Practitioners & affiliated clinicians

Practitioners 94

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 94

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1285698126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19368",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276199368",
            "telephone_number": "919-787-8221",
            "fax_number": "919-789-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 BROWNING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096536",
            "telephone_number": "919-787-8221",
            "fax_number": "919-881-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE RADIOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-788-7900"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.