TRIAD REGENERATIVE MEDICINE, PC (NPI# 1356953335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356953335 |
| Entity Type | Organization |
| Organization Name | TRIAD REGENERATIVE MEDICINE, PC |
| Practice Address |
1309 Lees Chapel Rd Greensboro NC 27455-2601 |
| Mailing Address |
Po Box 4365 Greensboro NC 27404-4365 |
| Practice Telephone | 3362857077 |
| Practice Fax Number | 3362857078 |
| Mailing Telephone | 3362857077 |
| Mailing Fax Number | 3362857078 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DR. DARCY MARIE WARD (CLINIC FACILITATOR) |
| Authorized Official Telephone | 3362857077 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chronic Conditions Center of Greensboro | Doing Business As Name - Organization |
| Street Address |
1309 LEES CHAPEL RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780652693 | Diamond Family Practice, Pllc | Emergency Medicine | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-03-08 |
| 1225312945 | Lake Jeanette Urgent Care | Clinic/Center | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2011-09-29 |
| 1952626855 | Hillcrest Urgent Care, Family Practice, Pllc | Family Medicine | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2010-04-02 |
| 1699822726 | Riki Lee Collins | Physician Assistant | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2007-01-04 |
| 1740232966 | Side Mitchell Mack Jr. | Physician Assistant | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-05-16 |
| 1205804986 | Vincent K Cheek | Emergency Medicine | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-03-09 |
| 1821066721 | Robin D Mahan Baker | Physician Assistant | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-03-08 |
| 1235107178 | Wagdy A Elmahdy | Emergency Medicine | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477104719 | Wake Forest Emergency Providers | Clinic/Center | 2005 Pisgah Church Rd, Greensboro, NC 27455-3309 | 2019-09-27 |
| 1508379421 | Sante Counseling | Clinic/Center | 208 E Bessemer Ave, Greensboro, NC 27401-6320 | 2017-11-14 |
| 1578089876 | Edge Medical Services | Clinic/Center | 2122 Enterprise Rd, Greensboro, NC 27408-7004 | 2017-08-17 |
| 1255727962 | Triad Urgent Care Pllc | Clinic/Center | 2005 Pisgah Church Rd, Suite A, Greensboro, NC 27455-3309 | 2015-04-09 |
| 1942626304 | Physical Therapy and Hand Specialist, LLC | Clinic/Center | 1130 N Church St Ste 201, Greensboro, NC 27401-1041 | 2014-03-10 |
| 1740588532 | Optimus Healthcare Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2011-03-03 |
| 1194964379 | Wake Forest University Health Sciences | Clinic/Center | 1200 N Elm St, Greensboro, NC 27401-1004 | 2009-02-12 |
| 1316119142 | Greensboro Heart Center LLC | Clinic/Center | 1331 N Elm St, Greensboro, NC 27401-6302 | 2008-04-01 |
| 1134218845 | Greensboro Heart Center LLC | Clinic/Center | 1331 N Elm St, Greensboro, NC 27401-6302 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
| 1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on TRIAD REGENERATIVE MEDICINE, PC.
| 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.