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 1982288262

Wake Specialty Physicians LLC is a Family Medicine Physician in Raleigh, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

4530 Fayetteville Rd
Raleigh, NC 27603-3614
Phone: (919) 350-0365
Fax: (919) 235-1307
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
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1982288262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shondra Brink — Vp, Wpp Operations · (919) 350-6045
Other names Wakemed Mycare 365 Primary & Urgent Care Garner
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

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