Individual provider Active NPI

Wendell Clavonn John, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1942288790
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201749 Issued in NC
Practice address
620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108
Phone
(919) 761-5678
NPI assigned
Jan 3, 2006
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201749 NC Primary

Addresses

Primary practice location

620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108

Mailing address

PO Box 96860
Charlotte, NC 28296-6860
Phone (919) 761-5678

Other practice location 1

2001 S Main St
Wake Forest, NC 27587-1612
Phone (919) 562-3155

Other practice location 2

13271 Strickland Rd Ste 120
Raleigh, NC 27613-5228
Phone (919) 741-4677

Other practice location 3

3050 Duraleigh Rd Ste 111
Raleigh, NC 27612-5451
Phone (984) 215-6990

Other identifiers 2

IdentifierTypeStateIssuer
201749OtherNCNC NURSE PRACTITIONER #
170923OtherNCNC NURSING LICENSE #

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000717 NC Practitioner - Nurse Practitioner 5890745723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

620 Dr Calvin Jones Hwy
Suite 212
Wake Forest, NC 27587-3108
Phone (919) 761-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201749NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Oct 1, 2024 Accepting new patients
Wilson Emergency Physician Partners PLLC CurrentSince Nov 1, 2015 Accepting new patients
Rex Hospital Inc Past Accepting new patients
Carolina Coast Emergency Physicians LLC Past Accepting new patients
Laurel Mill Emergency Physicians Past Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

10620 Park Rd
Ste 128
Charlotte, NC 28210
Phone (704) 542-6111

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

13271 Strickland Rd
Ste 120
Raleigh, NC 27613
Phone (919) 741-4677

620 Dr Calvin Jones Hwy
Ste 212
Wake Forest, NC 27587
Phone (919) 761-5678

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Interoperability endpoints

  • Direct secure messaging: wendelljohn@huc.allscriptsdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1942288790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96860",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966860",
            "telephone_number": "919-761-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DR CALVIN JONES HWY STE 212",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873108",
            "telephone_number": "919-761-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275871612",
            "country_code": "US",
            "telephone_number": "919-562-3155",
            "fax_number": "919-562-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13271 Strickland Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276135228",
            "country_code": "US",
            "telephone_number": "919-741-4677",
            "fax_number": "919-741-6349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Duraleigh Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125451",
            "country_code": "US",
            "telephone_number": "984-215-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "WENDELL",
        "middle_name": "CLAVONN",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC NURSE PRACTITIONER #",
            "identifier": "201749",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC NURSING LICENSE #",
            "identifier": "170923",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.