OrganizationActive
Carolina Pediatrics of the Triad, P.A.
NPI 1912987090 · Primary Care Clinic/Center · Greensboro, NC
Provider details
- NPI number
- 1912987090
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kellie Venable, Administrator(336) 574-4280
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2707 Henry St
Greensboro, NC 27405-3669
Phone: (336) 574-4280
Fax: (336) 574-4634
Street-level locationGet directions
Mailing address
2707 Henry St
Greensboro, NC 27405-3669
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.