WAKE FOREST HEALTH NETWORK LLC NPI 1225153984

NPI Information

  • NPI: 1225153984
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 34D1002235
  • Address: 138 DUBLIN SQUARE RD
    STE C
    ASHEBORO, NC
    ZIP 27203
  • Phone: (336) 625-3333

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is a family medicine in Asheboro, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WAKE FOREST HEALTH NETWORK LLC NPI is 1225153984. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

138 DUBLIN SQUARE RD
STE C
ASHEBORO, NC
ZIP 27203-601
Phone: (336) 625-3333
Fax: (336) 626-8233

The provider's authorized official is Craig Michael Greven .
The authorized official title is Sr Vp Clinical Operations and has the following contact phone number (336) 716-1331.

The CLIA number assigned to this NPI record is 34D1002235 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A0325OTHERNORTH CAROLINAMEDCOST
2269374OTHERNORTH CAROLINAMAMSI
3017HNOTHERNORTH CAROLINABCBS
4D266OTHERNORTH CAROLINAPARTNERS MEDICARE CHOICE
5CC4241OTHERNORTH CAROLINARR MEDICARE
6CD6614OTHERNORTH CAROLINARR MEDICARE
75901954MEDICAIDNORTH CAROLINA
8CB8658OTHERNORTH CAROLINARR MEDICARE
9CC4243OTHERNORTH CAROLINARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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