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

Wake Forest Baptist Imaging, LLC

Organization Diagnostic Radiology Physician · NPI 1700490232

Wake Forest Baptist Imaging, LLC is a Diagnostic Radiology Physician in Kernersville, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

861 Old Winston Rd Ste 105
Kernersville, NC 27284-7141
Phone: (336) 765-5722
Fax: (336) 765-5723
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1700490232
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWake Forest Baptist Imaging, LLC
Authorized official Amy Stout — President/Ceo · (615) 261-2306
Other names Atrium Health Wake Forest Baptist Imaging - Kernersville
NPI enumeratedSeptember 2, 2020
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address800 Crescent Centre Dr Ste 400, Franklin, TN 37067-7270

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