WAKE FOREST BAPTIST HEALTH (NPI# 1770951303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770951303 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST BAPTIST HEALTH |
| Practice Address |
8 Medical Park Dr Lexington NC 27292-6768 |
| Practice Telephone | 8887169233 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | FAITH LOCKETT GARDNER (PHYSICIAN) |
| Authorized Official Telephone | 3366694984 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
183212 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093198616 | Wake Forest Baptist Health | Clinic/Center | 6630 Shallowford Rd, Lewisville, NC 27023-9504 | 2015-06-30 |
| 1295159168 | Wake Forest Baptist Health | General Acute Care Hospital | 1200 N Elm St, Greensboro, NC 27401-1004 | 2014-02-12 |
| 1962798165 | Wake Forest Baptist Health | General Acute Care Hospital | Wake Forest University Health Sciences, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKE FOREST BAPTIST HEALTH | 601 N Elm St, High Point, NC 27261-4331 |
| Street Address |
8 MEDICAL PARK DR |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093906695 | Amanda Jane Reece | Pediatrics | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2007-08-08 |
| 1932246774 | Michael Alan Bellamy | Pediatrics | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2007-01-31 |
| 1710037072 | Lee Kilpatrick Finklea Sr. | Pediatrics | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2007-01-11 |
| 1508841040 | Lexmedical, Inc. | Pediatrics | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2005-12-07 |
| 1861475584 | Margaret Amanda Loda | Pediatrics | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2005-11-28 |
| 1346223047 | Mary Kay Tucker | Nurse Practitioner | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2005-11-28 |
| 1609857937 | Michael A Connaughton | Pediatrics | 8 Medical Park Dr, Lexington, NC 27292-6768 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134778145 | Schnitzer Associates, Incorporated | Clinic/Center | 127 Concord Ave, Lexington, MA 02421-8203 | 2019-09-11 |
| 1356997746 | Palmetto Therapist LLC | Clinic/Center | 2437c Mineral Springs Rd, Lexington, SC 29072-9145 | 2019-08-13 |
| 1336614072 | Jason Muzzillo, Pllc | Clinic/Center | 168 E Reynolds Rd Ste 210, Lexington, KY 40517-1365 | 2018-10-09 |
| 1861729998 | Centra Health, Inc Community Based Mental Health Programs | Clinic/Center | 35 Magnolia Sq Ste 7, Lexington, VA 24450-3779 | 2009-11-10 |
| 1154579050 | Family Care Center Clinic | Clinic/Center | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139398 | Improved You Services LLC | Clinic/Center | 513 Hydrangea Cir Nw, Concord, NC 28027-7256 | 2020-09-22 |
| 1801413687 | Millennial Services of Nc At Rockingham | Clinic/Center | 510 S Tipton Pl, Reidsville, NC 27320-3039 | 2020-06-29 |
| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAKE FOREST BAPTIST HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.