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

Wake Forest Health Network, LLC

Organization Pediatrics Physician · NPI 1053175299

Wake Forest Health Network, LLC is a Pediatrics Physician in Greensboro, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4529 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone: (336) 605-0190
Fax: (336) 605-0930
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1053175299
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWake Forest Health Network, LLC
Authorized official Craig Greven — Sr Vp Clinical Operations · (336) 716-1331
Other names Atrium Health Levine Children'S Pediatrics Northwest
NPI enumeratedFebruary 8, 2024
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address4529 Jessup Grove Rd, Greensboro, NC 27410-9407

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