TRIAD HEALTH SYSTEMS CARROLLTON CLINIC
NPI 1104248962
Clinic/Center - Federally Qualified Health Center (FQHC) in Carrollton, KY
About Triad Health Systems Carrollton Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIAD HEALTH SYSTEMS CARROLLTON CLINIC (NPI 1104248962) is a healthcare organization registered as a federally qualified health center (fqhc) in Carrollton, Kentucky and active in the NPI registry since January 2014. The organization holds 2 active CLIA laboratory certificates and lists Jessica Wheeler, General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Triad Health Systems Carrollton Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Triad Health Systems Carrollton Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 26Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 18D2035306
Triad Health Systems Inc · Carrollton, KYCertificate of Waiver 18D2142525
Triad Health Systems Inc · Owenton, KYFrequently 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 Health Systems Inc.'s NPI number?
The NPI number for Triad Health Systems Inc. is 1104248962. It was assigned to this organization in the NPPES registry on January 14, 2014. The provider is also known as Triad Health Systems Carrollton Clinic.
Where is Triad Health Systems Inc. located?
Triad Health Systems Inc. is located at 329 Floyd Dr, Carrollton, KY 41008. The listed phone number is (502) 732-1082.
What is Triad Health Systems Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Triad Health Systems Inc. enrolled in Medicare?
Yes. Triad Health Systems Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Triad Health Systems Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 9 Medicare specialties reassign their Medicare billing to Triad Health Systems Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (5) and Clinical Social Worker (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Triad Health Systems Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Triad Health Systems Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Triad Health Systems 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 Health Systems Inc. was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Triad Health Systems Carrollton Clinic · NPI 1104248962
Federally Qualified Health Center (FQHC) organization in Carrollton, Kentucky. Organization record, active in the CMS NPPES registry since January 14, 2014.
## Identity
- **NPI:** 1104248962 (Entity type: Organization)
- **Enumerated:** January 14, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Triad Health Systems Inc.
- **Organization subpart:** Yes (part of Triad Health Systems Inc.)
- **Authorized official:** Jessica Wheeler, GENERAL MANAGER
## Practice location
- **Address:** 329 FLOYD DR, Carrollton, KY 41008-8261
- **Phone:** (502) 732-1082 · **Fax:** (859) 567-1253
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (5), Clinical Social Worker (2); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1104248962/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2018
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104248962) · Data from the CMS NPPES public registry.