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

Wake Specialty Physicians LLC

Organization Family Medicine Physician · NPI 1255851424

Wake Specialty Physicians LLC is a Family Medicine Physician in Raleigh, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
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

2930 Forestville Rd
Raleigh, NC 27616-8774
Phone: (919) 235-6550
Fax: (919) 235-6586
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1255851424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Primary Care Forestville Crossing
NPI enumeratedJune 20, 2017
Last updated in NPPESAugust 8, 2019
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

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