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GUILFORD CHILD HEALTH-WENDOVER
NPI 1598762940
Clinic/Center - Federally Qualified Health Center (FQHC) in Greensboro, NC

Active since June 30, 2005
1046 E WENDOVER AVE, GREENSBORO, NC 27405(336) 272-1050(336) 272-0155 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Guilford Child Health-wendover NPPES

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

GUILFORD CHILD HEALTH-WENDOVER (NPI 1598762940) is a healthcare organization registered as a federally qualified health center (fqhc) in Greensboro, North Carolina and active in the NPI registry since June 2005. The organization lists Brian K Ellerby, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1598762940
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Location Address1046 E WENDOVER AVEGreensboro, NC 27405-6712
Mailing Address1046 E Wendover AveGreensboro, NC 27405-6712 · (336) 272-1050 · Fax (336) 272-0155
Phone(336) 272-1050
Fax(336) 272-0155
Organization SubpartNo
Authorized OfficialBrian K EllerbyChief Executive Officer · (336) 272-1050
Enumeration DateJune 30, 2005
Last NPPES UpdateAugust 29, 2011
✔ NPI 1598762940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1046 E WENDOVER AVE, Greensboro, NC 27405
Open in Google Maps ↗

Other Names 1

Doing Business AsGuilford Child Health-wendover

Other Identifiers 4

Other2348638ANC · Medicare
Medicaid890244UNC
Other0244UNC · Bcbs Of Nc
Other34D0926152NC · Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 34D0926152

Triad Adult & Pediatric Medicine, Inc Pediatrics At Wendover · Greensboro, NC
Expired · Apr 22, 2026
CLIA Number34D0926152
Laboratory TypeFQHC
Certificate Effective DateApril 23, 2024
Certificate Expiration DateApril 22, 2026
Laboratory DirectorDr. Alvin Powell
Laboratory Phone(336) 272-1050
Laboratory LocationTriad Adult & Pediatric Medicine, Inc Pediatrics At Wendover1046 East Wendover Avenue, Greensboro, NC 27405
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

EDWINA S COLBERT FNP
Nurse Practitioner
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
MINDA KRAMER CPNP
Nurse Practitioner (Pediatrics)
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
ROSALYN ROGERS ROPER NSW, LCSW
Social Worker (Clinical)
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
RUBEA ANGENITA BOONE MSW, LCSW
Social Worker (Clinical)
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
MR. PETER JOSEPH COCCARO MD
Pediatrics
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
ANNETTE FRAIN RD
Dietitian, Registered
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050
CAITLIN SOTEBEER ROMM
Dietitian, Registered
1046 E WENDOVER AVE
GREENSBORO, NC 27405
Guilford County (336) 272-1050

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 Adult And Pediatric Medicine, Inc.'s NPI number?

The NPI number for Triad Adult And Pediatric Medicine, Inc. is 1598762940. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Triad Adult And Pediatric Medicine, Inc. located?

Triad Adult And Pediatric Medicine, Inc. is located at 1046 E Wendover Ave, Greensboro, NC 27405. The listed phone number is (336) 272-1050.

What is Triad Adult And Pediatric Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Triad Adult And Pediatric Medicine, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Triad Adult And Pediatric Medicine, 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 Adult And Pediatric Medicine, Inc. was last updated on August 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.