Active NPI
Anna Wilkins McCormick, NP
- Child & Adolescent Psychiatry Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 5008710
- Practice address
- 5306 Six Forks Rd Ste 217
Raleigh, NC 27609-4468 - Phone
- (919) 739-4287
- Fax
- (919) 890-9237
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5008710 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5008710 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 5008710 | NC | Primary |
Addresses
Primary practice location
5306 Six Forks Rd Ste 217
Raleigh, NC 27609-4468
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Other practice location 1
23 Sunnybrook Rd
Suite 200
Raleigh, NC 27610-1855
Phone (919) 235-6435
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awilkins119946@directHISP.wakemed.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008710 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients |
Locations
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
104 Medspring Dr
Clayton, NC 27520
Phone (919) 235-6422
1911 Falls Valley Dr
Raleigh, NC 27615
Phone (919) 235-6422
23 Sunnybrook Rd
Ste 200
Raleigh, NC 27610
Phone (919) 235-6435
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- awilkins119946@directhisp.wakemed.org
Organizations & group practices 2
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.
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- NPI 1063304228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1992157440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 SIX FORKS RD STE 217",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094468",
"telephone_number": "919-739-4287",
"fax_number": "919-890-9237"
}
],
"practiceLocations": [
{
"address_1": "23 Sunnybrook Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101855",
"country_code": "US",
"telephone_number": "919-235-6435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "ANNA",
"middle_name": "WILKINS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5008710",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5008710",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "5008710",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awilkins119946@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "23 Sunnybrook Rd",
"address_2": "Suite 200",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101855",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.