NPIMap

Piedmont Healthcare, PA

Organization Active NPI Family Medicine Physician · Statesville, NC

NPI 1043780935 · NPPES record last updated Dec 4, 2018

Key facts

NPI
1043780935
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
PIEDMONT HEALTHCARE, PA
Practice address
705 Gaither Rd
Statesville, NC 28625-3450
Phone
(704) 871-1155
Fax
(704) 872-2484
NPI assigned
Dec 4, 2018
Organization subpart
No

Authorized official

Name
Greg Guin
Title
Cfo
Phone
(704) 873-4277

Corporate family (same tax ID) 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0964033Piedmont Healthcare PA
705 Gaither Road PO Box 1845, Statesville, NC 28625		Provider-performed microscopyAug 17, 2027

National Provider Directory

Tax ID family
Piedmont Healthcare (40 organizations share this tax ID)

Locations

705 Gaither Rd
Statesville, NC 28625
Phone (704) 871-1155

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

705 Gaither Rd
Statesville, NC 28625-3450

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other providers in Statesville, NC

All providers in Statesville, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.