TRIANGLE SPRINGS PHYSICIAN GROUP LLC NPI 1063901312

NPI Information

  • NPI: 1063901312
  • Provider Name: TRIANGLE SPRINGS PHYSICIAN GROUP, LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 10901 WORLD TRADE BLVD
    RALEIGH, NC
    ZIP 27617
  • Phone: (919) 746-8900

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NPI Details

TRIANGLE SPRINGS PHYSICIAN GROUP, LLC is a neurology psychiatry neurology in Raleigh, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. TRIANGLE SPRINGS PHYSICIAN GROUP, LLC NPI is 1063901312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10901 WORLD TRADE BLVD
RALEIGH, NC
ZIP 27617-203
Phone: (919) 746-8900
Fax: (919) 578-5544

The provider's authorized official is Greg Miller .
The authorized official title is Evo - Cfo and has the following contact phone number (412) 588-3546.

The enumeration date for this NPI number is 5/2/2018 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208D00000XGeneral PracticeNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11063901312MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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