Organization Active NPI

Triad Women'S Health and Wellness Center

  • Obstetrics & Gynecology Physician
  • High Point, NC
National Provider Identifier
1780113191
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TRIAD WOMEN'S HEALTH AND WELLNESS CENTER
Practice address
3750 Admiral Drive
Suite 104
High Point, NC 27265-1556
Phone
(336) 841-8416
Fax
(336) 841-6906
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Eleanor Elaine Greene, MD. MPH
Title
Doctor/Owner
Phone
(336) 841-6574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3750 Admiral Drive
Suite 104
High Point, NC 27265-1556

Mailing address

3750 Admiral Dr Ste 104
High Point, NC 27265-1556
Phone (336) 841-8416

Other identifiers 1

IdentifierTypeStateIssuer
20-0805834MedicaidND

Other names 1

  • Triad Women's Center Former legal business name

National Provider Directory

National Provider Directory

Locations

3750 Admiral Dr
Ste 104
High Point, NC 27265
Phone (336) 803-4111

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780113191",
    "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": "336-841-8416",
            "fax_number": "336-841-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ADMIRAL DRIVE",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651556",
            "telephone_number": "336-841-8416",
            "fax_number": "336-841-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD WOMEN'S HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "336-841-6574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD. MPH"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-0805834",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Women's Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Triad Women's Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.