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

Wake Medical Associates, PA

Organization Public Health & General Preventive Medicine Physician · NPI 1720192651

Wake Medical Associates, PA is a Public Health & General Preventive Medicine Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4505 Fair Meadows Ln
Raleigh, NC 27607-6465
Phone: (919) 571-4391
Fax: (919) 571-8968
Show map & directions

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

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence 31614 (NC)

Record details

NPI number1720192651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Gillikin — Consultant · (252) 353-7162
NPI enumeratedAugust 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 30696, Greenville, NC 27833-0696

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