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 1487879177

Wake Forest Health Network LLC is a Pediatrics Physician in Kernersville, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
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

861 Old Winston Rd Ste 103
Kernersville, NC 27284
Phone: (336) 802-2300
Fax: (336) 802-2301
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 number1487879177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Greven — Sr Vp Clinical Operations · (336) 716-1331
Other names Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com
NPI enumeratedApril 16, 2007
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address861 Old Winston Rd Ste 103, Kernersville, NC 27284-7141

Other providers in Kernersville