Wake Forest Health Network LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WAKE FOREST HEALTH NETWORK LLC

Doing business as

Atrium Health Wake Forest Baptist Internal Medicine - Premier

Practice address

4515 Premier Drive
Suite 204
High Point, NC 27265-8350

Phone

(336) 802-2075

Fax

(336) 802-2076

NPI assigned

Mar 19, 2007

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 identifiers 11

Other names 1

• Atrium Health Wake Forest Baptist Internal Medicine - Premier Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Mandi Dawn Beasley, FNP-BC

  • Nurse Practitioner
  • High Point, NC
  • NPI 1881342384
  NPD
• Edwin Silva Zapata, M.D.

  • Family Medicine Physician
  • High Point, NC
  • NPI 1760896518
  NPD
• Lafayette Lyle Smith, MD

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1205860749
  NPD
• Julienne Annette Summerlin, PA

  • Physician Assistant
  • Reidsville, NC
  • NPI 1942228333
  NPD
• Erin June Trantham, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1578581328
  NPD
• Gretchen Yazmine Velazquez, MD

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1528094844
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1659495133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DR STE 204",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658356",
            "telephone_number": "336-802-2075",
            "fax_number": "336-802-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DRIVE",
            "address_2": "SUITE 204",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658350",
            "telephone_number": "336-802-2075",
            "fax_number": "336-802-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "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": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "22810",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD6614",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0246T",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913200",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "D266",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7780730",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB8658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4243",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1212660007",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890246T",
            "state": "NC"
        }
    ],
    "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 Internal Medicine - Premier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Gastroenterology - High Point)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Pediatrics - Premier)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Infusion - Westchester)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Pulmonology - Westchester)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Endocrinology - Premier)
• Wake Forest Health Network LLC (Pinewest OB-Gyn at Premier)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Internal Medicine - Westchester)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Clinical Pharmacy & Diabetes/Nutriti)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Neurology - Westchester)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Rheumatology - Westchester)

• Internal Medicine Physician in High Point, NC
• Providers in High Point, NC by specialty
• Internal Medicine 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.
• 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.

Verify at the official NPI Registry.