TRIAD INTERVENTIONAL PAIN CENTER, PA
NPI 1306013628
Pain Medicine - Interventional Pain Medicine in Kernersville, NC

Active since May 15, 2008CLIA 34D1101211 · Waiver
900 OLD WINSTON RD, SUITE 112, KERNERSVILLE, NC 27284(704) 645-7196(704) 658-0418 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Triad Interventional Pain Center, Pa NPPES

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

TRIAD INTERVENTIONAL PAIN CENTER, PA (NPI 1306013628) is a healthcare organization registered as an interventional pain medicine in Kernersville, North Carolina and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Tarsha V Garvin, President/physician, as its authorized official.

NPPES Registry Identity

NPI1306013628
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameTRIAD INTERVENTIONAL PAIN CENTER, PA
Location Address900 OLD WINSTON RD, SUITE 112Kernersville, NC 27284-9964
Mailing Address900 Old Winston Rd, Suite 112Kernersville, NC 27284-9964 · (704) 645-7196 · Fax (704) 658-0418
Fax(704) 658-0418
Organization SubpartNo
Authorized OfficialTarsha V GarvinPresident/physician · (704) 645-7196
Enumeration DateMay 15, 2008
Last NPPES UpdateOctober 23, 2008
✔ NPI 1306013628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NC · 2005-00043
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
900 OLD WINSTON RD, Kernersville, NC 27284

Other Identifiers 4

Medicaid5950096NC
Other1380RNC · Bcbsnc
Medicare UPINI26370NC
Medicare PIN2037439ANC

Group Practice 1

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

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 Interventional Pain Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Triad Interventional Pain Center, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Pain Management
NPI 1649248444
900 OLD WINSTON RD SUITE 112
Kernersville, NC 27284
(336) 993-4502
✔ PECOS✔ Accepts MedicareSame address

Source: 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

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 34D1101211

Triad Interventional Pain Center PA · Kernersville, NC
Active · expires Jun 22, 2027
CLIA Number34D1101211
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorTarsha V. Garvin
Laboratory Phone(336) 993-4502
Laboratory LocationTriad Interventional Pain Center PA900 Old Winston Road Ste 112, Kernersville, NC 27284
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Interventional Pain Center, PA's NPI number?

The NPI number for Triad Interventional Pain Center, PA is 1306013628. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Triad Interventional Pain Center, PA located?

Triad Interventional Pain Center, PA is located at 900 Old Winston Rd Suite 112, Kernersville, NC 27284. The listed phone number is (704) 645-7196.

What is Triad Interventional Pain Center, PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Triad Interventional Pain Center, PA enrolled in Medicare?

Yes. Triad Interventional Pain Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triad Interventional Pain Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Triad Interventional Pain Center, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Triad Interventional Pain Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1101211) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Triad Interventional Pain Center, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Triad Interventional Pain Center, PA 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 Interventional Pain Center, PA was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.