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

Wake Specialty Physicians LLC

Organization Family Medicine Physician · NPI 1497204143

Wake Specialty Physicians LLC is a Family Medicine Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
3
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2820 Kidd Rd
Raleigh, NC 27610-1842
Phone: (919) 350-2800
Fax: (919) 350-8147
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X (NC)
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1497204143
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWakemed
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Physician Practices Group Home
NPI enumeratedSeptember 22, 2016
Last updated in NPPESMarch 22, 2017
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

Other providers in Raleigh