TRIAD ADULT AND PEDIATRIC MEDICINE, INC. (NPI# 1629077490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629077490 |
| Entity Type | Organization |
| Organization Name | TRIAD ADULT AND PEDIATRIC MEDICINE, INC. |
| Other Organization Name | GUILFORD CHILD HEALTH-HIGH POINT |
| Practice Address |
400 E Commerce Ave High Point NC 27260-5221 |
| Mailing Address |
1046 E Wendover Ave Greensboro NC 27405-6712 |
| Practice Telephone | 3368840224 |
| Practice Fax Number | 3368843471 |
| Mailing Telephone | 3362721050 |
| Mailing Fax Number | 3362720155 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | MR. BRIAN K. ELLERBY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3362721050 |
| Authorized Official Credential | MSPH CMPE |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0272J | 01 |
| NC | MEDICARE PART B | 2318638A | 01 |
| CLIA | 34D0926775 | 01 | |
| NC | 890245J | 05 |
| Other Name | Type Code |
|---|---|
| Guilford Child Health-High Point | Doing Business As Name - 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 |
| 1609279504 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2014-10-06 |
| 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 |
| Street Address |
400 E COMMERCE AVE |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27260-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033376 | Andrea Cuomo Scholer | Pediatrics | 400 E Commerce Ave, High Point, NC 27260-5221 | 2005-06-16 |
| 1811435423 | Romana Sevcikova Hayes | Nurse Practitioner | 400 E Commerce Ave, High Point, NC 27260-5221 | 2017-02-02 |
| 1053767244 | Amy Elizabeth Coe Goins | Social Worker | 400 E Commerce Ave, High Point, NC 27260-5221 | 2016-05-06 |
| 1073916839 | Lauren Brookshire | Nurse Practitioner | 400 E Commerce Ave, High Point, NC 27260-5221 | 2014-10-07 |
| 1679981740 | April Dawndee Orr Sherrill | Social Worker | 400 E Commerce Ave, High Point, NC 27260-5221 | 2014-08-01 |
| 1548320237 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 400 E Commerce Ave, High Point, NC 27260-5221 | 2006-12-11 |
| 1376549915 | Regina E Norris | Social Worker | 400 E Commerce Ave, High Point, NC 27260-5221 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291559 | Family Primary Care Pllc | Family Medicine | 200 Greensboro Rd, High Point, NC 27260 | 2017-08-22 |
| 1104102854 | Latoya Natasha Seward | Registered Nurse | 501 East Green Drive, High Point, NC 27260 | 2011-10-26 |
| 1053610170 | Anjanette Miles Thompson | Registered Nurse | 501 E Green Street, High Point, NC 27260 | 2011-03-16 |
| 1043477862 | Adrienne Ellison | Speech-Language Pathologist | 1315 Old Greensboro Rd, High Point, NC 27260 | 2008-05-20 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1710100078 | Power & Praise Tabernacle | Custodial Care Facility | 807 Vail Ave, High Point, NC 27260 | 2007-04-11 |
| 1356484075 | Judd Andrew Caudell | Physician Assistant | 501 East Greene Street, Guilford County Health Department, High Point, NC 27260 | 2007-02-14 |
| 1598775751 | Piedmont Triad Ambulance & Rescue Inc | Ambulance | 901 S Elm St, High Point, NC 27260 | 2006-08-09 |
| 1467911982 | Elizabeth Quiroz | Registered Nurse | 501 E Greene Dr, High Point, NC 27260 | 2019-03-14 |
| 1518497403 | Dominique Leeann Hickman | Social Worker | 501 E Green Dr, High Point, NC 27260 | 2017-06-14 |
| Find all providers in zip 27260 | ||||
| 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 |
|---|---|---|---|---|
| 1972050979 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 2039 Brentwood St, High Point, NC 27263-1805 | 2016-09-07 |
| 1548320237 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 400 E Commerce Ave, High Point, NC 27260-5221 | 2006-12-11 |
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|---|---|---|---|---|
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| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | HIGH POINT |
| Zip Code | 27260 |
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.