Piedmont Therapeutics, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PIEDMONT THERAPEUTICS, PLLC

Practice address

321 East Blvd Apt 3
Charlotte, NC 28203-4815

Phone

(980) 689-0778

NPI assigned

Oct 16, 2018

Last updated

Nov 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Majors Ethridge, MSW, LCSWNPI 1538597331

Title

Co-Owner

Phone

(980) 689-0778

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Jennifer Majors Ethridge, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1538597331
  NPD (past) Authorized official

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1083180194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 EAST BLVD APT 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034815",
            "telephone_number": "980-689-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 EAST BLVD APT 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034815",
            "telephone_number": "980-689-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT THERAPEUTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MAJORS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "980-689-0778",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871921494",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538597331",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piedmont Performance Evaluations, PLLC
• Piedmont Pharmacy LLC (Piedmont Pharmacy, LLC of Charlotte)
• Piedmont Pharmacy Solutions Inc (Piedmont Pharmacy)
• Piedmont Pharmacy Solutions, Inc (Piedmont Pharmacy Nations Ford)
• Piedmont Row LLC
• Piedmont Therapy Services, Inc.
• Rebecca Alison Mokhiber Pierce-Williams, DO
• Caroline Case Pierce, MD
• Derrick Pierce, PHARM. D.
• John D. Pierce, NCLCMHCS, NCC, CSAT

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.