OrganizationActive
Wakemed
NPI 1124094008 · Skilled Nursing Facility · Fuquay Varina, NC
Provider details
- NPI number
- 1124094008
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Wakemed
- Organization subpart
- Yes
- Authorized official
- Michael Devaughn, Sr Vp of Finance and Cfo(919) 350-8000
- License
- H0276 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
400 W Ransom St
Fuquay Varina, NC 27526-2434
Phone: (919) 350-4600
Street-level locationGet directions
Mailing address
400 W Ransom St
Fuquay Varina, NC 27526-2434
Other names (DBA / former)
- Doing business as
- Wakemed Fuquary Varina Outpatient and Snf
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2010-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.