WAKE FOREST HEALTH NETWORK LLC NPI 1659495133

NPI Information

  • NPI: 1659495133
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • :
  • Address: 4515 PREMIER DRIVE
    SUITE 204
    HIGH POINT, NC
    ZIP 27265
  • Phone: (336) 802-2075

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is an internal medicine in High Point, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WAKE FOREST HEALTH NETWORK LLC NPI is 1659495133. 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:

4515 PREMIER DRIVE
SUITE 204
HIGH POINT, NC
ZIP 27265-350
Phone: (336) 802-2075
Fax: (336) 802-2076

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 enumeration date for this NPI number is 3/19/2007 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
1207R00000XInternal 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
122810OTHERNORTH CAROLINAMEDCOST
2CC4241OTHERNORTH CAROLINARR MEDICARE
3CD6614OTHERNORTH CAROLINARR MEDICARE
40246TOTHERNORTH CAROLINABCBS
55913200MEDICAIDNORTH CAROLINA
6D266OTHERNORTH CAROLINAPARTNERS
77780730OTHERNORTH CAROLINAAETNA
8CB8658OTHERNORTH CAROLINARR MEDICARE
9CC4243OTHERNORTH CAROLINARR MEDICARE
101212660007OTHERNORTH CAROLINADME
11890246TMEDICAIDNORTH CAROLINA

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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