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FAMILY MEDICINE AT EUGENE STREET
NPI 1063712727
Clinic/Center - Federally Qualified Health Center (FQHC) in Greensboro, NC

Active since October 28, 2010
1002 S EUGENE ST, GREENSBORO, NC 27406(336) 355-9701(336) 676-6140 Get Directions Write a Review

NPPES record last updated: November 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medicine At Eugene Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE AT EUGENE STREET (NPI 1063712727) is a healthcare organization registered as a federally qualified health center (fqhc) in Greensboro, North Carolina and active in the NPI registry since October 2010. The organization lists Brian K Ellerby, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063712727
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Location Address1002 S EUGENE STGreensboro, NC 27406-1308
Mailing Address1002 S Eugene StGreensboro, NC 27406-1308 · (336) 355-9701 · Fax (336) 676-6140
Phone(336) 355-9701
Fax(336) 676-6140
Organization SubpartNo
Authorized OfficialBrian K EllerbyChief Executive Officer · (336) 355-9696
Enumeration DateOctober 28, 2010
Last NPPES UpdateNovember 26, 2013
✔ NPI 1063712727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X · License 10670 (NC)
1002 S EUGENE ST, Greensboro, NC 27406
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Other Names 1

Other NameFamily Medicine At Eugene Street

Other Identifiers 9

Other34-1962NC · Medicare Part A
Other34D0700291Clia
Other024UFNC · Bcbs
Other2348638ANC · Medicare Part B
Medicaid344045ANC
Medicaid344045CNC
Medicaid344045BNC
Other3460247Ncpdp
Other56162NC · Medcost

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUE ELLEN DRINKARD FNP
Nurse Practitioner
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 271-5999
DR. LEANN POINDEXTER PHARMD
Pharmacist
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 271-5999
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Community/Behavioral Health
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 355-9920
DR. BARBARA BULTER MCPHERSON M.D.
Family Medicine
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 271-5999
MR. DANIEL KWEKU NTIBREY FNP
Nurse Practitioner
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 355-9920
DR. AMELIA PUGH WILSON M.D.
Family Medicine
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 271-5999
DAWN L MCGUIRE
Physician Assistant
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 355-9920
LAURA O'NEAL
Social Worker (Clinical)
1002 S EUGENE ST
GREENSBORO, NC 27406
Guilford County (336) 355-9920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Triad Adult And Pediatric Medicine, Inc.'s NPI number?

The NPI number for Triad Adult And Pediatric Medicine, Inc. is 1063712727. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is also known as Family Medicine At Eugene Street.

Where is Triad Adult And Pediatric Medicine, Inc. located?

Triad Adult And Pediatric Medicine, Inc. is located at 1002 S Eugene St, Greensboro, NC 27406. The listed phone number is (336) 355-9701.

What is Triad Adult And Pediatric Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Triad Adult And Pediatric Medicine, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Triad Adult And Pediatric Medicine, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Triad Adult And Pediatric Medicine, Inc. was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.