Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wake Family Medicine PC

Organization General Practice Physician · NPI 1215162466

Wake Family Medicine PC is a General Practice Physician in Cary, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1831 Lake Pine Dr Ste 200
Cary, NC 27511-6050
Phone: (919) 380-1849
Fax: (919) 380-1851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1215162466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mrinalini Kodumagulla — Owner/Physican · (919) 395-3491
NPI enumeratedMay 18, 2009
Last updated in NPPESSeptember 30, 2019
Mailing address1831 Lake Pine Dr Ste 200, Cary, NC 27511-6050

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