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CAROLINA PEDIATRICS OF THE TRIAD, P.A.
NPI 1912987090
Clinic/Center - Primary Care in Greensboro, NC

Active since January 17, 2006CLIA 34D0239309 · Certificate of Compliance
2707 HENRY ST, GREENSBORO, NC 27405(336) 574-4280(336) 574-4634 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Pediatrics Of The Triad, P.a. NPPES

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

CAROLINA PEDIATRICS OF THE TRIAD, P.A. (NPI 1912987090) is a healthcare organization registered as a primary care in Greensboro, North Carolina and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 28, 2027 and lists Kellie B Venable, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912987090
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCAROLINA PEDIATRICS OF THE TRIAD, P.A.
Location Address2707 HENRY STGreensboro, NC 27405-3669
Mailing Address2707 Henry StGreensboro, NC 27405-3669 · (336) 574-4280 · Fax (336) 574-4634
Phone(336) 574-4280
Fax(336) 574-4634
Organization SubpartNo
Authorized OfficialKellie B VenableAdministrator · (336) 574-4280
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJune 24, 2008
✔ NPI 1912987090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2707 HENRY ST, Greensboro, NC 27405
Open in Google Maps ↗

Other Identifiers 9

Medicare UPINF42266NC
Medicare UPINF42267NC
Medicare UPINH84574NC
Medicare UPINF83504NC
Medicare UPINH41422NC
Medicare UPINF42321NC
Medicare UPINF42322NC
Medicare UPING96887NC
Medicare UPINH58733NC

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 Compliance 34D0239309

Carolina Pediatrics Of The Triad, PA · Greensboro, NC
Active · expires Aug 28, 2027
CLIA Number34D0239309
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorElizabeth Knollmeyer
Laboratory Phone(336) 574-4280
Laboratory LocationCarolina Pediatrics Of The Triad, PA2707 Henry Street, Greensboro, NC 27405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 16

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

MADISON NATION BOTTS MD
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280
DR. KEIVAN ETTEFAGH MD
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280
DR. JESSICA LEE MILLER M.D., MPH
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280
DR. MARK M BRASSFIELD M.D.
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280
DR. WILLIAM BRADLEY DAVIS M.D.
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280
JOHN SCOTT ELLIS LAT-ATC
Specialist/Technologist (Athletic Trainer)
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 375-2301
DR. BRIAN A SUMNER M.D.
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280
DR. REBECCA ELIZABETH MCHUGH MD
Pediatrics
2707 HENRY ST
GREENSBORO, NC 27405
Guilford County (336) 574-4280

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 Carolina Pediatrics Of The Triad, P.A.'s NPI number?

The NPI number for Carolina Pediatrics Of The Triad, P.A. is 1912987090. It was assigned to this organization in the NPPES registry on January 17, 2006.

Where is Carolina Pediatrics Of The Triad, P.A. located?

Carolina Pediatrics Of The Triad, P.A. is located at 2707 Henry St, Greensboro, NC 27405. The listed phone number is (336) 574-4280.

What is Carolina Pediatrics Of The Triad, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Carolina Pediatrics Of The Triad, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0239309) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Pediatrics Of The Triad, P.A. was last updated on June 24, 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.