Wake Forest Baptist Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WAKE FOREST BAPTIST IMAGING, LLC

Doing business as

Atrium Health Wake Forest Baptist Imaging

Practice address

265 Executive Park Blvd
Winston Salem, NC 27103-1503

Phone

(336) 765-5722

Fax

(336) 765-5723

NPI assigned

Jun 10, 2008

Last updated

Dec 16, 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

Amy Stout

Title

President/Ceo

Phone

(615) 261-2306

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Atrium Health Wake Forest Baptist Imaging Doing business as

Medicare fee-for-service enrollment

Enrolled in NC, TN, FL, NY, NM, IN, CO, WI, TX9 enrollments

Enrollment records 9

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wake Forest Baptist Imaging LLC

  dba Atrium Health Wake Forest Baptist Imaging Friendly - Mobile

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1841049913

  3173681681

  Same PAC ID
• Wake Forest Baptist Imaging, LLC

  dba Atrium Health Wake Forest Baptist Imaging - Kernersville

  • Clinic/Center
  • Kernersville, NC
  • NPI 1700490232

  3173681681

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Wake Forest Baptist Imaging, LLC

  dba Atrium Health Wake Forest Baptist Imaging - Kernersville

  • Clinic/Center
  • Kernersville, NC
  • NPI 1700490232

  O20081027000587, O20251030004608, O20251106000262, O20251128000277, O20251220000092, O20251223000694, O20260202003596, O20260226003713, O20260305000884

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Wake Forest Imaging LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wake Forest Baptist Imaging LLC

  dba Atrium Health Wake Forest Baptist Imaging Friendly - Mobile

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1841049913
  NPD tax ID
• Wake Forest Baptist Imaging, LLC

  dba Atrium Health Wake Forest Baptist Imaging - Kernersville

  • Clinic/Center
  • Kernersville, NC
  • NPI 1700490232
  NPD tax ID

Member of 2

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

• North Carolina Baptist Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winston Salem, NC
  • NPI 1346218724

  Member Of

  NPD member
• Wake Forest University Health Sciences

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1225139249

  Member Of

  NPD member

Locations

Practitioners 165

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.

• Michael D Baker, MD

  • Neuroradiology Physician
  • Winston Salem, NC
  • NPI 1972588523
  Medicare reassignment Care Compare group NPD
• Hayden Presley Barrett, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1467075606
  Medicare reassignment Care Compare group NPD
• Marc Benayoun, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1790041861
  Medicare reassignment Care Compare group NPD
• Michael Brandon Berry, MD

  • Vascular & Interventional Radiology Physician
  • Greenville, NC
  • NPI 1881612000

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Elizabeth Denny Brown, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1093706038
  Medicare reassignment Care Compare group NPD
• Patrick Allen Brown, M.D.

  • Neuroradiology Physician
  • Winston Salem, NC
  • NPI 1831325372

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kelly Ann Brozzetti-Cronin, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1093973273
  Medicare reassignment Care Compare group NPD
• Jonathan Hill Burdette, MD

  • Neuroradiology Physician
  • Winston Salem, NC
  • NPI 1528043940
  Medicare reassignment Care Compare group NPD
• Karol Lissette Cardenas Montalvo, MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1699400580
  Medicare reassignment Care Compare group NPD
• Aruj Chawla, DO, MBA

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1649709676
  Medicare reassignment Care Compare group NPD
• David Dixon Childs, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1629148416
  Medicare reassignment Care Compare group NPD
• Caroline Chiles, MD

  • Body Imaging Physician
  • Winston Salem, NC
  • NPI 1003890302

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1972763357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 400",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677270",
            "telephone_number": "615-261-2306",
            "fax_number": "855-588-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 EXECUTIVE PARK BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-765-5722",
            "fax_number": "336-765-5723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Northline Ave Ste 3120-101",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087814",
            "country_code": "US",
            "telephone_number": "336-765-5722",
            "fax_number": "336-765-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAKE FOREST BAPTIST IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "615-261-2306"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D06298",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912396",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Wake Forest Baptist Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wake Air Care LLC
• Wake Forest Ambulatory Ventures, LLC
• Wake Forest Baptist Health
• Wake Forest Baptist Health Care at Home, LLC (Atrium Health Wake Forest Baptist - Care at Home)
• Wake Forest Baptist Health Center
• Wake Forest Baptist Medical Center
• Wake Forest Baptist Medical Center
• Wake Forest Baptist Medical Center
• Wake Forest Baptist Medical Center Community Physicians (Winston East Pediatrics)
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza)

• Radiology Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.