Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Triad Surgical Associates, PLLC

Organization Surgery Physician · NPI 1639312879

Northern Triad Surgical Associates, PLLC provides Surgery Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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