Wake Specialty Physicians LLC
NPI 1063096345 · Family Medicine Physician · Raleigh, NC
Wake Specialty Physicians LLC is a Family Medicine Physician organization in Raleigh, NC (NPI 1063096345).
Provider details
- NPI number
- 1063096345
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shondra Brink, Vp, Wpp Operations(919) 350-6045
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Wakemed Mycare 365 Primary & Urgent Care Glenwood
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Frequently asked questions
- What is Wake Specialty Physicians LLC's NPI number?
- Wake Specialty Physicians LLC's National Provider Identifier (NPI) is 1063096345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wake Specialty Physicians LLC?
- Wake Specialty Physicians LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wake Specialty Physicians LLC located?
- Wake Specialty Physicians LLC's practice location on file with NPPES is 6800 Glenwood Ave, Raleigh, NC 27612-7133.
- What is Wake Specialty Physicians LLC's phone number?
- The practice phone number listed in the NPPES registry for Wake Specialty Physicians LLC is (919) 350-0365.
- Who is the authorized official for Wake Specialty Physicians LLC?
- The authorized official listed on Wake Specialty Physicians LLC's NPPES record is Shondra Brink, Vp, Wpp Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wake Specialty Physicians LLC's NPI active?
- Yes — Wake Specialty Physicians LLC's NPI (1063096345) is active in the NPPES registry as of the last update on 2021-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.