MEDICARE: TRIAD TRANSIT & MOBILITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1477433613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIAD TRANSIT & MOBILITY LLC

Provider Business Mailing Address
First Line	:	625 WATSON ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-1728
Country	:	US
Telephone Number	:	336-609-9102
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 WATSON ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-1728
Country	:	US
Telephone Number	:	336-609-9102
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. TRI-SHAWN DANZELLE DRAUGHON
Credential	:
Telephone Number	:	336-609-9102

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

Similar Medicare Providers

1023564564 — ANGELA STEWART
Practice Location Address:

4306 PRINCETON AVE
GREENSBORO, NC
27407-1728

Practice Phone: 336-854-4534
Practice Fax:

1326902883 — MRS. SHANITA WICKER LCSW
Practice Location Address:

906 WOLF PACK WAY
GREENSBORO, NC
27406-8259

Practice Phone: 336-880-9414
Practice Fax:

1831197938 — TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Practice Location Address:

433 W MEADOWVIEW ROAD
GREENSBORO, NC
27406-4316

Practice Phone: 336-370-9091
Practice Fax: 336-370-4922

1699776088 — KOVINE MEDICAL SUPPLY, INC.
Practice Location Address:

620 S ELM ST , STE 374
GREENSBORO, NC
27406-1398

Practice Phone: 336-398-9343
Practice Fax: 336-389-9334

1740282219 — DR. STEVEN W BERNSTORF O.D.
Practice Location Address:

2633 RANDLEMAN RD
GREENSBORO, NC
27406-5107

Practice Phone: 336-274-2222
Practice Fax: 336-274-2228

1356335657 — CAROLYN DOUGHTY GORDAN PNP
Practice Location Address:

433 W MEADOWVIEW RD
GREENSBORO, NC
27406-4316

Practice Phone: 336-370-9091
Practice Fax: 336-370-4922

Directions to “TRIAD TRANSIT & MOBILITY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.