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

Wakemed Specialists Group, LLC

Organization Otolaryngology Physician · NPI 1053976415

Wakemed Specialists Group, LLC is an Otolaryngology Physician in Raleigh, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
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 →

Practice location Address checks out

3024 New Bern Ave
Raleigh, NC 27610-1247
Phone: (919) 350-7856
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X

Record details

NPI number1053976415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Ent-Head & Neck Surgery
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019
Mailing address2920 Highwoods Blvd, Raleigh, NC 27604-0010

Other providers in Raleigh