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

Wakemed Specialists Group LLC

Organization Family Medicine Physician · NPI 1255995643

Wakemed Specialists Group LLC is a Family Medicine 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.

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Practice location Address checks out

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

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

Specialties & licences

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

Record details

NPI number1255995643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Hospitalist Group Home
NPI enumeratedMay 1, 2019
Last updated in NPPESAugust 13, 2019
Mailing addressPo Box 603949, Charlotte, NC 28260-3949

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