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TRIAD PEDIATRICS, PC
NPI 1407355704
Pediatrics in High Point, NC

Active since February 02, 2018CLIA Certified · 2 labs
4012 MENDENHALL OAKS PKWY, HIGH POINT, NC 27265(336) 822-9671(336) 882-2824 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Triad Pediatrics, Pc NPPES

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

TRIAD PEDIATRICS, PC (NPI 1407355704) is a healthcare organization registered as a pediatrics in High Point, North Carolina and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in High Point, and lists Thomas Wayne Dillard, Owner, as its authorized official.

NPPES Registry Identity

NPI1407355704
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTRIAD PEDIATRICS, PC
Location Address4012 MENDENHALL OAKS PKWYHigh Point, NC 27265-8076
Mailing Address4148 Mendenhall Oaks PkwyHigh Point, NC 27265-8034 · (336) 822-9671 · Fax (336) 882-2824
Phone(336) 822-9671
Fax(336) 882-2824
Organization SubpartNo
Authorized OfficialThomas Wayne DillardOwner · (336) 822-9671
Enumeration DateFebruary 2, 2018
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 8, 2020
✔ NPI 1407355704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2007-00476
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4012 MENDENHALL OAKS PKWY, High Point, NC 27265
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Secondary Practice Location 1

Location 12754 HWY 68, Suite 111High Point, NC 27265 · Phone (336) 822-9671 · Fax (336) 882-2824

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

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 34D2202973

Triad Pediatrics Mendenhall Oaks · High Point, NC
Active · expires Dec 1, 2026
CLIA Number34D2202973
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorChad Cooke
Laboratory Phone(336) 802-1111
Laboratory LocationTriad Pediatrics Mendenhall Oaks4012 Mendenhall Oaks Pkwy, High Point, NC 27265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2147897

Triad Pediatrics, PC · High Point, NC
Active · expires Apr 29, 2028
CLIA Number34D2147897
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorChad Cooke
Laboratory Phone(336) 802-1111
Laboratory LocationTriad Pediatrics, PC2754 Nc Highway 68, Suite 111, High Point, NC 27265
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SYDNEY MORELLI COLE CPNP-PC
Nurse Practitioner (Pediatrics)
4012 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 802-1111
CRYSTAL MARY THOMES PA-C
Physician Assistant
4012 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 802-1111

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 Pediatrics, PC's NPI number?

The NPI number for Triad Pediatrics, PC is 1407355704. It was assigned to this organization in the NPPES registry on February 2, 2018.

Where is Triad Pediatrics, PC located?

Triad Pediatrics, PC is located at 4012 Mendenhall Oaks Pkwy, High Point, NC 27265. The listed phone number is (336) 822-9671.

What is Triad Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Triad Pediatrics, PC 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.

When was this NPI record last updated?

The NPPES record for Triad Pediatrics, PC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.