Organization Active NPI

Piedmont Infectious Disease Consultants P a

  • Specialist
  • Hickory, NC
National Provider Identifier
1053403873
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9900415 Issued in NC
Legal business name
PIEDMONT INFECTIOUS DISEASE CONSULTANTS P A
Practice address
1985 Tate Blvd., SE
First Plaza BLDG., Ste 720
Hickory, NC 28602-1433
Phone
(828) 304-4935
Fax
(828) 304-4936
NPI assigned
Sep 29, 2006
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Grace M Auten, M.D.NPI 1639176316
Title
Doctor
Phone
(828) 304-4935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9900415 NC Primary

Addresses

Primary practice location

1985 Tate Blvd., SE
First Plaza BLDG., Ste 720
Hickory, NC 28602-1433

Mailing address

1985 Tate Blvd., SE
First Plaza BLDG., Ste 720
Hickory, NC 28602-1433
Phone (828) 304-4935

Other identifiers 1

IdentifierTypeStateIssuer
790190GMedicaidNC

National Provider Directory

National Provider Directory

Locations

1985 Tate Blvd SE
Ste 720
Hickory, NC 28602
Phone (828) 304-4935

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1053403873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD., SE",
            "address_2": "FIRST PLAZA BLDG., STE 720",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021433",
            "telephone_number": "828-304-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD., SE",
            "address_2": "FIRST PLAZA BLDG., STE 720",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021433",
            "telephone_number": "828-304-4935",
            "fax_number": "828-304-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT INFECTIOUS DISEASE CONSULTANTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "AUTEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "828-304-4935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9900415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790190G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.