Wakemed Surgery Center - North Raleigh LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WAKEMED SURGERY CENTER - NORTH RALEIGH LLC

Practice address

10010 Falls of Neuse Rd Ste 100
Raleigh, NC 27614-8495

Phone

(919) 350-8000

NPI assigned

Nov 7, 2023

Last updated

Feb 11, 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

Stephanie Sessoms

Title

Executi VP, Finance & Cfo

Phone

(919) 350-0522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720852114. Details of each certification follow.

• CCN 34C0001234 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 34C0001234

Legal name

WakeMed Surgery Center - North Raleigh

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 25, 2024

Last certification

Oct 23, 2024

Ownership / control type

Proprietary

Facility address

10010 Falls of Neuse Rd., Ste. 100
Raleigh, NC 27614

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wakemed

  dba WakeMed Mental Health & Well-Being Hospital WakeBrook

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302

  Member Of

  NPD member

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1720852114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148495",
            "telephone_number": "919-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEMED SURGERY CENTER - NORTH RALEIGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "SESSOMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTI VP, FINANCE & CFO",
        "authorized_official_telephone_number": "919-350-0522"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wakemed Specialists Group, LLC (WakeMed Tobacco Cessation - Specialty)
• Wakemed Specialists Group, LLC
• Wakemed Specialists Group, LLC
• Wakemed Specialists Group, LLC
• Wakemed Specialists Group, LLC
• Wakesleep LLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2058)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1751)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5118)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1372)

• Ambulatory Surgical Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.