OrganizationActive
Wakemed Specialists Group LLC
NPI 1255995643 · Intellectual Disabilities Intermediate Care Facility · Raleigh, NC
Provider details
- NPI number
- 1255995643
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Maria Jayoussi, Executive Director of Finance(919) 350-6089
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2820 Kidd Rd
Raleigh, NC 27610-1842
Phone: (919) 350-2800
Fax: (919) 350-8147
Street-level locationGet directions
Mailing address
Po Box 603949
Charlotte, NC 28260-3949
Other names (DBA / former)
- Doing business as
- Wakemed Hospitalist Group Home
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.