Piedmont Professional Services, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PIEDMONT PROFESSIONAL SERVICES, LLC

Practice address

1855 Hudson Bridge Rd
Stockbridge, GA 30281-5000

Phone

(770) 801-2500

Fax

(770) 803-2121

NPI assigned

Jul 2, 2008

Last updated

Aug 10, 2021By 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

Mrs. Christy Aquino

Title

Director of Provider Enrollment

Phone

(470) 271-3427

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046

  Member Of

  NPD member

Locations

Practitioners 582

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.

• Iris D Amaker, RN,MSN,WHNP, NP-C,

  • Family Nurse Practitioner
  • Smyrna, GA
  • NPI 1962545731
  Medicare reassignment Care Compare group NPD
• Lyna Ashu

  • Family Nurse Practitioner
  • Dacula, GA
  • NPI 1932500600
  Medicare reassignment Care Compare group NPD
• Susan E. Austin, NP

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1427005354

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Idrissatu Bah, NP

  • Nurse Practitioner
  • Newnan, GA
  • NPI 1083237069

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Robert Jay Balotin, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1205924537
  Medicare reassignment Care Compare group NPD
• Julie Beth Banares, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1235554346
  Medicare reassignment Care Compare group NPD
• Paula Carol Barlow, NP-C

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1033532023
  Medicare reassignment Care Compare group NPD
• Erinn Beasley, FNP-BC

  • Family Nurse Practitioner
  • Evans, GA
  • NPI 1326498387
  Medicare reassignment Care Compare group NPD
• Sibilla Kay Blair, FNP-C

  • Family Nurse Practitioner
  • Dallas, GA
  • NPI 1407400260
  Medicare reassignment Care Compare group NPD
• Virginia Bailey Blount, FNP-C

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1770360620

  SC

  Medicare reassignment Care Compare group NPD
• Deborah A Brewer, NP

  • Nurse Practitioner
  • Marietta, GA
  • NPI 1891854303
  Medicare reassignment Care Compare group NPD
• Joretta A Buckner, NP

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1851316665
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1104088905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102038",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815000",
            "telephone_number": "770-801-2500",
            "fax_number": "770-803-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "470-271-3427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Healthcare Inc
• Piedmont Henry Hospital, Inc.
• Piedmont Henry Hospital, Inc. (Laurel Park at Piedmont Henry Hospital)
• Piedmont Hospitalist Physicians LLC
• Piedmont Nephrology and Internal Medicine, LLC
• Piedmont Provider Services PC
• Loren Bradley Pierce, PHARMD
• Jeannie Marie Pierson, APC
• Kaitlyn Pierson, RN
• Judith Waddell Piette, PT

• Nephrology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.