Triad Primary Health and Wellness, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TRIAD PRIMARY HEALTH AND WELLNESS, PLLC

Practice address

3750 Admiral Dr Ste 104
High Point, NC 27265-1556

Phone

(336) 803-4111

Fax

(336) 803-4014

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Martina Stacey Ratliff, FNP-CNPI 1720410749

Title

Owner

Phone

(336) 803-4111

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Martina Stacey Ratliff, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1720410749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1598547010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 ADMIRAL DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651556",
            "telephone_number": "336-803-4111",
            "fax_number": "336-803-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ADMIRAL DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651556",
            "telephone_number": "336-803-4111",
            "fax_number": "336-803-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PRIMARY HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-803-4111",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Dialysis Center of Wake Forest University
• Triad Eye Associates of High Point OD PA
• Triad Medical Transportation
• Triad Outreach Center, Inc.
• Triad Pediatrics, PC
• Triad Women'S Center PA
• Triad Women'S Health and Wellness Center
• Triad Women'S Health and Wellness Center
• Triad Youth Services, Inc
• Isabella Trichilo, OTR

• General Practice Physician in High Point, NC
• Providers in High Point, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.