TRIAD ADULT AND PEDIATRIC MEDICINE, INC. (NPI# 1609279504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609279504 |
| Entity Type | Organization |
| Organization Name | TRIAD ADULT AND PEDIATRIC MEDICINE, INC. |
| Other Organization Name | INTERACTIVE RESOURCE CENTER |
| Practice Address |
1002 S Eugene St Greensboro NC 27406-1308 |
| Mailing Address |
407 E Washington St Greensboro NC 27401-2930 |
| Practice Telephone | 3363559701 |
| Practice Fax Number | 3367632896 |
| Mailing Telephone | 3363320824 |
| Mailing Fax Number | 3367632896 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | MR. BRIAN K. ELLERBY (CEO) |
| Authorized Official Telephone | 3363559696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Interactive Resource Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050979 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 2039 Brentwood St, High Point, NC 27263-1805 | 2016-09-07 |
| 1326348087 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1439 E Cone Blvd, Greensboro, NC 27405-4533 | 2010-10-28 |
| 1710049986 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W. Meadowview Road, Greensboro, NC 27406-4316 | 2006-12-14 |
| 1831197938 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W Meadowview Road, Greensboro, NC 27406-4316 | 2005-07-12 |
| 1881059723 | Triad Adult and Pediatric Medicine, Inc. | Family Medicine | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2015-12-18 |
| 1063882165 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1102 E Market St, Greensboro, NC 27401-6056 | 2015-10-01 |
| 1154791424 | Triad Adult and Pediatric Medicine, Inc. | Community/Behavioral Health | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2015-09-30 |
| 1063712727 | Triad Adult and Pediatric Medicine, Inc. | Pharmacy | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2010-10-28 |
| 1548320237 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 400 E Commerce Ave, High Point, NC 27260-5221 | 2006-12-11 |
| 1265592968 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2006-12-11 |
| Street Address |
1002 S EUGENE ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306810460 | Amelia Pugh Wilson | Family Medicine | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2006-02-15 |
| 1346862604 | Dawn L Mcguire | Physician Assistant | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2020-05-09 |
| 1306312327 | Daniel Kweku Ntibrey | Nurse Practitioner | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2018-10-17 |
| 1457831257 | Laura O'neal | Social Worker | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2018-08-21 |
| 1487194841 | Hunter Kay Barnes | Social Worker | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2017-03-06 |
| 1881059723 | Triad Adult and Pediatric Medicine, Inc. | Family Medicine | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2015-12-18 |
| 1154791424 | Triad Adult and Pediatric Medicine, Inc. | Community/Behavioral Health | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2015-09-30 |
| 1801205018 | Triad Adult and Pediatric Med- Greensboro Pharmacy | Pharmacy | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2014-08-13 |
| 1811318413 | Colleen Jeske Tetsworth | Counselor | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2013-12-27 |
| 1720377724 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2011-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326348087 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1439 E Cone Blvd, Greensboro, NC 27405-4533 | 2010-10-28 |
| 1710049986 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W. Meadowview Road, Greensboro, NC 27406-4316 | 2006-12-14 |
| 1285655936 | Whatley Health Services Inc | Clinic/Center | 800 Hall St, Greensboro, AL 36744 | 2006-07-21 |
| 1831197938 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W Meadowview Road, Greensboro, NC 27406-4316 | 2005-07-12 |
| 1144771106 | Oconee Valley Healthcare Inc | Clinic/Center | 1040 Park Dr, Greensboro, GA 30642 | 2016-10-14 |
| 1063882165 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1102 E Market St, Greensboro, NC 27401-6056 | 2015-10-01 |
| 1831441104 | Cornerstone Car Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-10-10 |
| 1215288774 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-09-25 |
| 1407139439 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2011-09-26 |
| 1679868418 | Cornerstone Care Incorporated | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2011-06-09 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27406 |
Please comment or provide details below to improve the information on TRIAD ADULT AND PEDIATRIC MEDICINE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.