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 provides Family Medicine Physician services 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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