Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Triad Surgical Associates, PLLC

Organization Surgery Physician · NPI 1639312879

Northern Triad Surgical Associates, PLLC is a Surgery Physician in Reidsville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1818 Richardson Dr Ste E
Reidsville, NC 27320-5451
Phone: (336) 634-0095
Fax: (336) 616-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 200002376723 (NC)

Record details

NPI number1639312879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jenkins — Member · (336) 634-0095
NPI enumeratedApril 17, 2009
Last updated in NPPESJuly 12, 2013
Mailing address1818 Richardson Dr., Ste. E, Reidsville, NC 27320

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