Individual provider Active NPI

Alessia Perry-Waite

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1811374101
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019-00140 Issued in NC
Practice address
10 Sunnybrook Rd
Raleigh, NC 27610-1808
Phone
(919) 212-7000
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2019-00140 NC Primary

Addresses

Primary practice location

10 Sunnybrook Rd
Raleigh, NC 27610-1808

Mailing address

10 Sunnybrook Rd
Raleigh, NC 27610-1808
Phone (919) 212-7000

Other identifiers 2

IdentifierTypeStateIssuer
GP6288MedicaidSC
RHC227MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316001576 NC Practitioner - Obstetrics/Gynecology 5799058269 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-00140NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wake Current Accepting new patients
County of Wake CurrentSince Sep 7, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 6, 2021 Accepting new patients
County of Wake CurrentSince Sep 7, 2021 Accepting new patients

Locations

10 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-4570

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

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

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1811374101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101808",
            "telephone_number": "919-212-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101808",
            "telephone_number": "919-212-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-WAITE",
        "first_name": "ALESSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2019-00140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6288",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.