Organization Active NPI

County of Wake

Doing business as Wake County Health Dept

  • State or Local Public Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1801957576
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF WAKE
Doing business as
Wake County Health Dept
Wake County Public Health
Practice address
200 Swinburne St
Raleigh, NC 27610-1834
Phone
(919) 250-1120
Fax
(919) 743-7403
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Cynthia Henderson
Title
Provider Credentialing Coordinator
Phone
(919) 212-7817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X
Public Health or Welfare Agency 251K00000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

200 Swinburne St
Raleigh, NC 27610-1834

Mailing address

PO Box 14169
Raleigh, NC 27620-4169
Phone (919) 212-7817

Other identifiers 2

IdentifierTypeStateIssuer
07191OtherNCBCBS
3404392MedicaidNC

Other names 2

  • WAKE COUNTY HEALTH DEPT Doing business as
  • Wake County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000389 NC Part B Supplier - Clinic/Group Practice 6305759952 Receives reassigned benefits from 52 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Raleigh, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

200 Swinburne St
Raleigh, NC 27610
Phone (919) 250-1120

10 Sunnybrook Rd
#D
Raleigh, NC 27610
Phone (919) 250-4610

200 Swinburne St
#9
Raleigh, NC 27610

301 S McDowell St
Raleigh, NC 27601

350 E Holding Ave
Wake Forest, NC 27587
Phone (919) 229-4149

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1801957576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14169",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204169",
            "telephone_number": "919-212-7817",
            "fax_number": "919-743-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SWINBURNE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101834",
            "telephone_number": "919-250-1120",
            "fax_number": "919-743-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PROVIDER CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "919-212-7817"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07191",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404392",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAKE COUNTY HEALTH DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WAKE COUNTY HEALTH DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wake County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.