OrganizationActive
Wake Medical Associates, P.A.
NPI 1720192651 · Public Health & General Preventive Medicine Physician · Raleigh, NC
Provider details
- NPI number
- 1720192651
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marcus Gillikin, Consultant(252) 353-7162
- License
- 31614 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4505 Fair Meadows Ln
Raleigh, NC 27607-6465
Phone: (919) 571-4391
Fax: (919) 571-8968
Street-level locationGet directions
Mailing address
Po Box 30696
Greenville, NC 27833-0696
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.