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Sara Koenig, MD, MBA

Medical Director & CEO


Sara Koenig, MD, MBA opened Triangle Wellness & Recovery PLLC in 2019 with the vision of providing personalized, evidence-based integrative care for substance use disorders, behavioral addictions, and chronic pain in a compassionate and innovative multidisciplinary setting. Dr. Koenig is one of only a handful of board-certified Addiction Medicine doctors in the Triangle, and the only one based in Cary, NC.


Education & Early Career in Academic Medicine


Dr. Koenig graduated from the University of North Carolina School of Medicine in Chapel Hill in 2006, and after completing residency and fellowship in Transfusion Medicine, she spent the first 5 years of her career in academic medicine holding clinical faculty positions at UNC Chapel Hill and the University of New Mexico School of Medicine.


Turning to Cross-Disciplinary Practice


In 2015, Dr. Koenig left academic medicine to become the Chief Medical Officer at Albuquerque Health Care for the Homeless – an integrated, multi-specialty, federally qualified health center (FQHC) providing medical, psychiatric, dental, behavioral health, and social support services to clients in the Albuquerque area. Inspired by the transformations she witnessed in patients receiving compassionate, integrated treatment for addiction and mental health disorders, Dr. Koenig decided to re-dedicate her career to the cross-disciplinary specialty of Addiction Medicine.


Returning to Chapel Hill, Dr. Koenig worked as an Addiction Medicine physician at Piedmont Health Systems, providing consulting for the UNC ECHO project on opioid addiction treatment, and presenting at community-based and academic forums. She obtained advanced training in medical and behavioral treatment of substance use disorders, chronic pain, and commonly co-occurring psychiatric conditions at University of North Carolina in Chapel Hill. Dr. Koenig is triple board certified in Addiction Medicine, Clinical Pathology and Transfusion Medicine.