EAGLE FAMILY MEDICINE @ TRIAD (EAGLE PHYSICIANS AND ASSOCIATES PA) NPI 1184665499

Clinic/Center (Primary Care) in Greensboro, NC

NPI 1184665499 Organization Clinic/Center Primary Care

About EAGLE FAMILY MEDICINE @ TRIAD (EAGLE PHYSICIANS AND ASSOCIATES PA)

Eagle Family Medicine @ Triad (eagle Physicians And Associates Pa) is a primary care provider established in Greensboro, North Carolina specializing in clinic/center (primary care) . The NPI number of Eagle Family Medicine @ Triad (eagle Physicians And Associates Pa) is 1184665499 and was assigned on June 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Eagle Family Medicine @ Triad. The authorized official of this NPI record is Terri S. Jones (Director, Eagle Business Services)

A primary care provider (PCP) like Eagle Family Medicine @ Triad sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1184665499

Provider NameEAGLE FAMILY MEDICINE @ TRIAD (EAGLE PHYSICIANS AND ASSOCIATES PA)
Provider Location Address3511 W MARKET ST SUITE A GREENSBORO, NC 27403
Provider Mailing AddressPO BOX 14883 GREENSBORO, NC 27415
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameEAGLE FAMILY MEDICINE @ TRIAD
Other Name TypeDoing Business As (3)
Enumeration Date06-09-2006
Last Update Date09-24-2015


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care

Business Address

EAGLE FAMILY MEDICINE @ TRIAD
3511 W MARKET ST
SUITE A
GREENSBORO, NC
ZIP 27403
Phone: (336) 852-3800
Fax: (336) 852-5725

Get Directions


Mailing Address

EAGLE FAMILY MEDICINE @ TRIAD
PO BOX 14883
GREENSBORO, NC
ZIP 27415
Phone: (336) 852-3800
Fax: (336) 852-5725



Authorized Official

Authorized Official Name TERRI S. JONES
Authorized Official TitleDIRECTOR, EAGLE BUSINESS SERVICES
Authorized Official Phone(336) 268-3201

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
890134WMEDICAID (05)NC
0134WOTHER (01)NC
2318442MEDICARE PIN (08)NC
CB9132MEDICARE PIN (08)NC

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942269766DR. KESHAVPAL G REDDY M.D.
Individual
Psychiatry & Neurology (Psychiatry)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1366489288MS. GWENN KELLER AUEL
Individual
Social Worker (Clinical)3511 W MARKET ST STE 100
GREENSBORO, NC 27403
(336) 632-3505
1265479182 CATHERINE P SHOWFETY
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)3511 W MARKET ST STE 100
GREENSBORO, NC 27403
(336) 632-3505
1982641858DR. GERALD PLOVSKY MD
Individual
Psychiatry & Neurology (Psychiatry)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1730122532MS. DONNA R HOOD
Individual
Counselor (Professional)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1699893495 GINA BOWDEN
Individual
Developmental Therapist3511 W MARKET ST SUITE B
GREENSBORO, NC 27403
(336) 294-3338
1003039884 PAULA KATZ
Individual
Counselor (Professional)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1639398860DR. STEPHANIE M RIDDLE PHARMD CPP
Individual
Pharmacist (Psychiatric)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1366640807 KATHERINE STOKES PICKETT PA-C
Individual
Physician Assistant3511 W MARKET ST SUITE A
GREENSBORO, NC 27403
(336) 852-3800
1437420973K REDDY PSYCHIATRY & ASSOCIATES PA
Organization
Psychiatry & Neurology (Psychiatry)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1013269422 NICHOLE MOORE
Individual
Developmental Therapist3511 W MARKET ST STE. B
GREENSBORO, NC 27403
(336) 294-3338
1275672776MRS. REBECCA AUSTIN SMITH LPC,LCAS
Individual
Counselor (Mental Health)3511 W MARKET ST
GREENSBORO, NC 27403
(336) 632-3505
1992746663 JANE L STEINER M.D.
Individual
Psychiatry & Neurology (Psychiatry)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1114941978 JASON E JONES M.D.
Individual
Psychiatry & Neurology (Psychiatry)3511 W MARKET ST SUITE 100
GREENSBORO, NC 27403
(336) 632-3505
1265663371 JO ANDREA HUGHES PA-C
Individual
Physician Assistant3511 W MARKET ST STE100
GREENSBORO, NC 27403
(336) 632-3505
1851328785 VYVYAN YE-LIN SUN M.D.
Individual
Family Medicine3511 W MARKET ST SUITE A
GREENSBORO, NC 27403
(336) 852-3800
1619908951 CANDACE T SMITH M.D.
Individual
Family Medicine3511 W MARKET ST SUITE A
GREENSBORO, NC 27403
(336) 852-3800
1821029133 CYNTHIA WHITE M.D.
Individual
Family Medicine3511 W MARKET ST SUITE A
GREENSBORO, NC 27403
(336) 852-3800
1447281928 WILLIAM R HARRIS M.D.
Individual
Family Medicine3511 W MARKET ST SUITE A
GREENSBORO, NC 27403
(336) 852-3800
1356372833 ROBERT A READE M.D.
Individual
Family Medicine3511 W MARKET ST SUITE A
GREENSBORO, NC 27403
(336) 852-3800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.