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

Wakemed Specialists Group LLC

Organization Orthopaedic Surgery Physician · NPI 1417512690

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

In the registry since
2019
Specialties on file
5
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

3009 New Bern Ave
Raleigh, NC 27610-1214
Phone: (919) 232-5020
Fax: (919) 232-5021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1417512690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Wake Orthopaedics; Wakemed Wake Orthopaedics
NPI enumeratedMay 3, 2019
Last updated in NPPESAugust 22, 2019
Mailing addressPo Box 603949, Charlotte, NC 28260-3949

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