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

Triad Medical Group PA

Organization Family Medicine Physician · NPI 1194267336

Triad Medical Group PA is a Family Medicine Physician in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2031 Martin Luther King Jr Dr
Greensboro, NC 27406-3342
Phone: (704) 838-0516
Fax: (704) 838-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 39460 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 39460 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1194267336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nekita Clyburn — Billing Administration · (336) 790-9787
NPI enumeratedNovember 4, 2016
Last updated in NPPESAugust 6, 2019
Mailing address2031 Martin Luther King Jr Dr Ste A, Greensboro, NC 27406-3300

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