Active NPI
North Wake Pediatrics
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1477378669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NORTH WAKE PEDIATRICS
- Practice address
- 701 Exposition PL Ste 202
Raleigh, NC 27615-3359 - Phone
- (919) 848-2167
- Fax
- (919) 848-2168
- NPI assigned
- Nov 21, 2024
- Last updated
- Nov 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Woodall
- Title
- Credentialing Manager
- Phone
- (336) 932-3506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
701 Exposition PL Ste 202
Raleigh, NC 27615-3359
Mailing address
PO Box 12160
Belfast, ME 04915-4012
Phone (919) 848-2167
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1070997 | North Wake Pediatrics | Certificate of waiver | Aug 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
701 Exposition Pl
Ste 202
Raleigh, NC 27615
Phone (919) 848-2167
Interoperability endpoints
- https://api.platform.athenahealth.com/6973/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Raleigh, NC
- NPI 1396700555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1477378669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12160",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154012",
"telephone_number": "919-848-2167",
"fax_number": "919-848-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EXPOSITION PL STE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153359",
"telephone_number": "919-848-2167",
"fax_number": "919-848-2168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH WAKE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "WOODALL",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "336-932-3506"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- North Raleigh Wellness, PLLC (North Raleigh Chiropractic)
- North State Investment Group, LLC (North State Medical Transport)
- North Wake Counseling Partners
- North Wake Internal Medicine Associates
- North Wake Internal Medicine Associates PLLC
- Abigail Weiland North, MS, RD, MHS, PA-C
- North, Inc.
- Andrea Northcutt, RPH
- Sheridan Northcutt
- Northeastern Human Services
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 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.