Piedmont Family Medicine, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PIEDMONT FAMILY MEDICINE, P.A.

Practice address

1401 W Innes St Ste B
Salisbury, NC 28144-2575

Phone

(704) 636-5626

Fax

(704) 636-5641

NPI assigned

Feb 12, 2007

Last updated

Jun 3, 2013By 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

Dr. Chetan N Amin, D.O.NPI 1104892249

Title

Owner

Phone

(704) 636-5626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Nicole Graham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nicole Graham

  • Primary Care Clinic/Center
  • Salisbury, NC
  • NPI 1225576242
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: admin@piedmontfm.e-mdsdirect.com
• Direct secure messaging: chetan-amin@piedmontfm.e-mdsdirect.com

Practitioners 4

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.

• Chetan N Amin, DO

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1104892249
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Elizabeth Graham, PA-C

  • Medical Physician Assistant
  • Salisbury, NC
  • NPI 1043680200
  Medicare reassignment Care Compare group
• Nicole Graham, PA-C

  • Medical Physician Assistant
  • Salisbury, NC
  • NPI 1245778182
  Medicare reassignment Care Compare group
• Tiffany Marie Kneip, PA-C

  • Physician Assistant
  • Salisbury, NC
  • NPI 1154603629
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1104968627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W INNES ST STE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442575",
            "telephone_number": "704-636-5626",
            "fax_number": "704-636-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W INNES ST STE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442575",
            "telephone_number": "704-636-5626",
            "fax_number": "704-636-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-636-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phase II Transportation Inc
• Peatra Lehr Phifer, RN
• Jeffrey Phillips, PHARMD
• Taylor Phillips
• Piedmont Eye Physicians and Surgeons, PA
• Piedmont Foot and Ankle Care
• Piedmont Health & Rehab Center, LLC
• Piedmont Interventional Pain Care, PA
• Piedmont Neurosurgery & Spine, PA
• Piedmont Plastic & Oral Surgery Center

• Primary Care Clinic/Center in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.