# THOMAS MENDOLIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TRI COUNTY GASTROENTEROLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689631368
- **Authorized official:** THOMAS MENDOLIA D.O. (PHYSICIAN AND SOLE OWNER)
- **Authorized official phone:** (336) 835-5688

## Contact information

- **Practice address:** 201 W MAIN ST, ELKIN, NC 28621-3490
- **Practice address phone:** (336) 835-5688
- **Practice address fax:** (336) 835-6521
- **Mailing address:** 201 WEST MAIN STREET, ELKIN, NC 28621
- **Mailing address phone:** (336) 835-5688
- **Mailing address fax:** (336) 835-6521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 34401 | NC | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 34401 | NC | Yes |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 09/11/2025