Wake Forest Health Network LLC
NPI 1063647394 · Pediatrics Physician · Winston Salem, NC
Wake Forest Health Network LLC is a Pediatrics Physician organization in Winston Salem, NC (NPI 1063647394).
Provider details
- NPI number
- 1063647394
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Greven, Sr Vp Clinical Operations(336) 716-1331
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- Atrium Health Wake Forest Baptist Pediatrics - Ford Simpson Lively & R
Registry dates
- Enumerated
- 2009-05-15
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Frequently asked questions
- What is Wake Forest Health Network LLC's NPI number?
- Wake Forest Health Network LLC's National Provider Identifier (NPI) is 1063647394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wake Forest Health Network LLC?
- Wake Forest Health Network LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Wake Forest Health Network LLC located?
- Wake Forest Health Network LLC's practice location on file with NPPES is 2933 Maplewood Ave, Winston Salem, NC 27103-4009.
- What is Wake Forest Health Network LLC's phone number?
- The practice phone number listed in the NPPES registry for Wake Forest Health Network LLC is (336) 794-3380.
- Who is the authorized official for Wake Forest Health Network LLC?
- The authorized official listed on Wake Forest Health Network LLC's NPPES record is Craig Greven, Sr Vp Clinical Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wake Forest Health Network LLC's NPI active?
- Yes — Wake Forest Health Network LLC's NPI (1063647394) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.