Organization Active NPI

Gastroenterology Associates of the Piedmont, P.a.

  • Gastroenterology Physician
  • Kernersville, NC
National Provider Identifier
1073091088
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.
Practice address
445 Pineview Dr Ste 200B
Kernersville, NC 27284
Phone
(336) 448-2427
Fax
(336) 765-2869
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Anne C Hill, MBA FACMPE
Title
Ceo
Phone
(336) 714-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

445 Pineview Dr Ste 200B
Kernersville, NC 27284

Mailing address

1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 448-2427

Other names 1

  • KERNERSVILLE OFFICE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706001386 NC Part B Supplier - Clinic/Group Practice 4587568860 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winston Salem, NC; Kernersville, NC; Clemmons, NC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Gastroenterology Associates

Locations

445 Pineview Dr
Ste 200B
Kernersville, NC 27284
Phone (336) 448-2427

1901 S Hawthorne Rd
Ste 310
Winston Salem, NC 27103
Phone (336) 448-2427

Practitioners & affiliated clinicians

Practitioners 2

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1073091088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034014",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PINEVIEW DR STE 200B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-714-3533",
        "authorized_official_credential": "MBA FACMPE"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERNERSVILLE OFFICE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KERNERSVILLE OFFICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.