TRIANGLE SPRINGS PHYSICIAN GROUP, LLC - NPI 1063901312 - Psychiatry & Neurology in Raleigh, NC

Q: What is Triangle Springs Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

On this page

About Triangle Springs Physician Group, Llc NPPES

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

TRIANGLE SPRINGS PHYSICIAN GROUP, LLC (NPI 1063901312) is a healthcare organization registered as a neurology in Raleigh, North Carolina and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1063901312

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameTRIANGLE SPRINGS PHYSICIAN GROUP, LLC

Location Address10901 WORLD TRADE BLVDRaleigh, NC 27617-4203

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775

Phone(919) 746-8900

Fax(919) 578-5544

Organization SubpartYesParent: Springstone, Llc

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7688

Enumeration DateMay 2, 2018

Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1063901312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedGeneral PracticeTaxonomy 208D00000X

10901 WORLD TRADE BLVD, Raleigh, NC 27617

Open in Google Maps ↗

Other Identifiers 1

Medicaid1063901312NC

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2144651

Triangle Springs, LLC · Raleigh, NC

Active · expires Feb 20, 2028

CLIA Number34D2144651

Laboratory TypeHospital

Certificate Effective DateFebruary 21, 2026

Certificate Expiration DateFebruary 20, 2028

Laboratory DirectorVera Yingle-Kaljob

Laboratory Phone(919) 746-8900

Laboratory LocationTriangle Springs, LLC10901 World Trade Boulevard, Raleigh, NC 27617

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

MIRANDA GAVIN LCSWA

Social Worker