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Triad Adult and Pediatric Medicine, Inc.

Federally Qualified Health Center (FQHC) in Greensboro, NC · enumerated 2010 · authorized official Brian Ellerby, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063712727

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Registry record

Entity type Organization (Type 2)
Legal business name Triad Adult and Pediatric Medicine, Inc.
Other name <Unavail>
Practice address 1002 S Eugene St, Greensboro, NC, 27406
Fax (336) 676-6140
Enumeration date Oct 28, 2010
Last updated in NPPES Nov 26, 2013

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
3336C0002X Clinic Pharmacy Suppliers · License 10670 (NC) Secondary

Authorized official

Name Brian Ellerby
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
34D0700291 Other - CLIA
2348638A Other NC MEDICARE PART B
344045A Medicaid NC -
3460247 Other - NCPDP
56162 Other NC MEDCOST
34-1962 Other NC MEDICARE PART A
344045B Medicaid NC -
344045C Medicaid NC -
024UF Other NC BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Triad Adult and Pediatric Medicine, Inc.?
Triad Adult and Pediatric Medicine, Inc. is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-26.