Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wake Family Medicine PC

Organization General Practice Physician · NPI 1215162466

Wake Family Medicine PC provides General Practice Physician services in Cary, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1831 Lake Pine Dr Ste 200
Cary, NC 27511-6050
Phone: (919) 380-1849
Fax: (919) 380-1851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1215162466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mrinalini Kodumagulla — Owner/Physican · (919) 395-3491
NPI enumeratedMay 18, 2009
Last updated in NPPESSeptember 30, 2019
Mailing address1831 Lake Pine Dr Ste 200, Cary, NC 27511-6050

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