Healthcare Provider Details

I. General information

NPI: 1972579837
Provider Name (Legal Business Name): WAKEMED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610-1295
US

IV. Provider business mailing address

3000 NEW BERN AVE
RALEIGH NC
27610-1295
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-8000
  • Fax:
Mailing address:
  • Phone: 919-350-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH0199
License Number StateNC

VIII. Authorized Official

Name: MS. STEPHANIE SESSOMS
Title or Position: EXECUTIVE VP, FINANCE & CFO
Credential:
Phone: 919-350-0522