Healthcare Provider Details

I. General information

NPI: 1780446302
Provider Name (Legal Business Name): WAKEMED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SUNNYBROOK RD
RALEIGH NC
27610-1827
US

IV. Provider business mailing address

111 SUNNYBROOK RD
RALEIGH NC
27610-1827
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 Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

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