Triad Adult and Pediatric Medicine, Inc.
NPI 1063712727 · Federally Qualified Health Center (FQHC) · Greensboro, NC
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Triad Adult and Pediatric Medicine, Inc. is a Federally Qualified Health Center (FQHC) organization in Greensboro, NC (NPI 1063712727).
Provider details
- NPI number
- 1063712727
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Ellerby, Chief Executive Officer(336) 355-9696
- License
- 10670 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Family Medicine at Eugene Street
Registry dates
- Enumerated
- 2010-10-28
- Last updated
- 2013-11-26
Frequently asked questions
- What is Triad Adult and Pediatric Medicine, Inc.'s NPI number?
- Triad Adult and Pediatric Medicine, Inc.'s National Provider Identifier (NPI) is 1063712727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Triad Adult and Pediatric Medicine, Inc.?
- Triad Adult and Pediatric Medicine, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Triad Adult and Pediatric Medicine, Inc. located?
- Triad Adult and Pediatric Medicine, Inc.'s practice location on file with NPPES is 1002 S Eugene St, Greensboro, NC 27406-1308.
- What is Triad Adult and Pediatric Medicine, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Triad Adult and Pediatric Medicine, Inc. is (336) 355-9701.
- Does Triad Adult and Pediatric Medicine, Inc. accept Medicare?
- Triad Adult and Pediatric Medicine, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Triad Adult and Pediatric Medicine, Inc.?
- The authorized official listed on Triad Adult and Pediatric Medicine, Inc.'s NPPES record is Brian Ellerby, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Triad Adult and Pediatric Medicine, Inc.'s NPI active?
- Yes — Triad Adult and Pediatric Medicine, Inc.'s NPI (1063712727) is active in the NPPES registry as of the last update on 2013-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.