Wake Forest Health Network LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WAKE FOREST HEALTH NETWORK LLC

Doing business as

Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com

Practice address

861 Old Winston Rd
Suite 103
Kernersville, NC 27284

Phone

(336) 802-2300

Fax

(336) 802-2301

NPI assigned

Apr 16, 2007

Last updated

Sep 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Michael Greven, MD

Title

Sr VP Clinical Operations

Phone

(336) 716-1331

Specialties & licenses 1

Addresses

Other names 1

• Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

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.

• Aruj Chawla, DO, MBA

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1649709676
  NPD
• Brandi Foster Jordan, N.P.

  • Pediatric Nurse Practitioner
  • Kernersville, NC
  • NPI 1417299603
  NPD
• Amanda Allen Mounce, FNP

  • Family Nurse Practitioner
  • Kernersville, NC
  • NPI 1740553429
  NPD
• Bartley Anderson Weaver, DO

  • Pediatrics Physician
  • Kernersville, NC
  • NPI 1013596055
  NPD
• Meghan Hancock Webb, PAC

  • Physician Assistant
  • High Point, NC
  • NPI 1689031726
  NPD
• Pangnhia Yang, PA-C

  • Physician Assistant
  • Hickory, NC
  • NPI 1922379346
  NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1487879177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 OLD WINSTON RD STE 103",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847141",
            "telephone_number": "336-802-2300",
            "fax_number": "336-802-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 OLD WINSTON RD",
            "address_2": "SUITE 103",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-802-2300",
            "fax_number": "336-802-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "GREVEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SR VP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "336-716-1331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "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 Pediatrics - Kernersville Sports Com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lori Jean Wainright, MS, LPC
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• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Internal Medicine - Kernersville)
• Wake Forest University Health Sciences (Atrium Health Wake Forest Baptist Orthopedics - Kernersville)
• Wake Forest University Health Sciences (Ralph Lauren)
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• Pediatrics Physician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.