Organization Active NPI

Triple J Diagnostics & Wellness LLC

  • Multi-Specialty Clinic/Center
  • Wilson, NC
National Provider Identifier
1396676987
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRIPLE J DIAGNOSTICS & WELLNESS LLC
Practice address
717 Ward Blvd
Wilson, NC 27893-1831
Phone
(919) 631-2823
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Octavia Nicole ThigpenNPI 1285597740
Title
Specimen Collector
Phone
(252) 226-0636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

717 Ward Blvd
Wilson, NC 27893-1831

Mailing address

717 Ward Blvd
Wilson, NC 27893-1831
Phone (252) 266-0636

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2345928Triple J Diagnostics & Wellness717 Ward Blvd, Wilson, NC 27893Certificate of waiverJun 21, 2028

National Provider Directory

National Provider Directory

Locations

717 Ward Blvd
Wilson, NC 27893
Phone (919) 631-2823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1396676987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931831",
            "telephone_number": "252-266-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931831",
            "telephone_number": "919-631-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE J DIAGNOSTICS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "THIGPEN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SPECIMEN COLLECTOR",
        "authorized_official_telephone_number": "252-226-0636"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.