NPIMap

Organization Active NPI

Centers for Advanced Urology, LLC

  • Non-Pharmacy Dispensing Site
  • Wake Forest, NC
National Provider Identifier
1659947117
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CENTERS FOR ADVANCED UROLOGY, LLC
Practice address
1904 S Main St Ste 114
Wake Forest, NC 27587-5030
Phone
(919) 390-3978
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Joanie Marie Cochran
Title
Credentialing Agent
Phone
(336) 306-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1904 S Main St Ste 114
Wake Forest, NC 27587-5030

Mailing address

1904 S Main St Ste 114
Wake Forest, NC 27587-5030

National Provider Directory

National Provider Directory
Tax ID family
Associated Urologists of North Carolina PA13 organizations share this tax ID, including this one
Part of
Associated Urologists of North Carolina PA

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1659947117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 S MAIN ST STE 114",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 S MAIN ST STE 114",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875030",
            "telephone_number": "919-390-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR ADVANCED UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "336-306-9755"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.