Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wake Forest Health Network LLC

Organization Pediatrics Physician · NPI 1487879177

Wake Forest Health Network LLC provides Pediatrics Physician services in Kernersville, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

861 Old Winston Rd Ste 103
Kernersville, NC 27284
Phone: (336) 802-2300
Fax: (336) 802-2301
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1487879177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Greven — Sr Vp Clinical Operations · (336) 716-1331
Other names Atrium Health Wake Forest Baptist Pediatrics - Kernersville Sports Com
NPI enumeratedApril 16, 2007
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address861 Old Winston Rd Ste 103, Kernersville, NC 27284-7141

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