Active NPI
Gastroenterology Associates of the Piedmont, P.a.
- Gastroenterology Physician
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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, 2018
- Organization subpart
- Yes
- Parent organization
- GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Gastroenterology Physician
- Clemmons, NC
- NPI 1285031955
O20040706001386
-
- Gastroenterology Physician
- Winston Salem, NC
- NPI 1336585561
O20040706001386
-
- Endoscopy Clinic/Center
- Winston Salem, NC
- NPI 1679687586
O20040706001386
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.
-
- Family Nurse Practitioner
- Winston Salem, NC
- NPI 1760008932
-
- Nurse Practitioner
- Winston Salem, NC
- NPI 1699440222
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
- Gaston Family Health Services, Inc (Kintegra/SHA at Sedge Garden Elementary)
- Gaston Family Health Services, Inc (Kintegra/SHA at Cash Elementary)
- Gaston Family Health Services, Inc (Kintegra/SHA at Kernersville Middle)
- Gaston Family Health Services, Inc (Kintegra/SHA at Kernersville Elementary)
- Gastroenterology Associates of the Piedmont, P.a.
- Gateway Pharmacy LLC
- Jeevan Gautam, MD
- Subarna Gautam, M.D.
- Eric Gavour, MD
- Generations Family Practice, PA (Kernersville Primary Care)
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.