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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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: July 19, 2026.

On this page

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.

DR. MARK M BRASSFIELD M.D.

Pediatrics