Piedmont Express Care at Sutton Road, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PIEDMONT EXPRESS CARE AT SUTTON ROAD, LLC

Doing business as

Sutton Road Pediatrics

Practice address

515 Rivercrossing Dr
Suite 180
Fort Mill, SC 29715-7900

Phone

(803) 547-8181

Fax

(803) 547-8180

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other names 1

• Sutton Road Pediatrics Doing business as

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1083032254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743012",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743012",
            "telephone_number": "803-547-8181",
            "fax_number": "803-547-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RIVERCROSSING DR",
            "address_2": "SUITE 180",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157900",
            "telephone_number": "803-547-8181",
            "fax_number": "803-547-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT EXPRESS CARE AT SUTTON ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutton Road Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly A Perron, MS, LPC, LCMHC, AADC
• Peterkin & Associates, LLC.
• Nhung Thi Phan, D.M.D.
• Trudy Phelps, PH.D
• Phoenix Wellness LLC
• Piedmont Express Care at Sutton Road, LLC
• Piedmont Family Practice at Baxter Village, LLC
• Piedmont Family Practice at Tega Cay, LLC (Piedmont Family Practice at Tega Cay)
• Piedmont Gynecological and Obstetrical Associates
• Piedmont Internal Medicine at Baxter Village LLC

• Pediatrics Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.