Wake Forest Health Network LLC
Organization Active NPI Family Medicine Physician · Asheboro, NC
NPI 1962833343 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1962833343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WAKE FOREST HEALTH NETWORK LLC
- Practice address
- 375 Sunset Ave
Asheboro, NC 27203-5611 - Phone
- (336) 625-4215
- Fax
- (336) 626-0919
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Craig Michael Greven
- Title
- Sr VP Clinical Operations
- Phone
- (336) 716-1331
Practitioners 10
-
Mark Arredondo, MD
-
Brian Carey Belfi, PAC
-
Benjamin Cartner, PA-C
-
Robert Lyle Dough Jr., M.D.
-
Craig Stephen Gaccione, M.D.
-
Angela Mannino, D.O.
-
Maida Helen Martin, PA-C
-
Rajan Ramesh Revankar, M. D.
-
Paula Marie Welsh, NP-C
-
Michael A Jones, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000868 | NC | Part B Supplier - Clinic/Group Practice | 4183538895 |
Receives reassigned benefits from 690 practitioners This NPI is an additional NPI on the enrollment Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
375 Sunset Ave
Asheboro, NC 27203-5611
Mailing address
375 Sunset Ave
Asheboro, NC 27203-5611
Phone (336) 625-4215
Other names
- Atrium Health Wake Forest Baptist Family Medicine - Sunset Avenue
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Asheboro, NC
- Wake Forest Health Network LLC
- Wake Forest Health Network LLC
- Wake Forest Health Network LLC
- Wake Forest Health Network LLC
- Wake Forest Health Network LLC
- Wake Forest University Health Sciences
- Wake Forest University Health Sciences
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
All providers in Asheboro, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.