Piedmont Pulmonary Medicine, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

TL1571 Issued in SC

Legal business name

PIEDMONT PULMONARY MEDICINE, LLC

Practice address

700 Plaza Cir Ste N
Clinton, SC 29325

Phone

(864) 547-2160

Fax

(864) 547-2159

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy PatelNPI 1912119371

Title

President

Phone

(210) 714-9827

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Patel, DO

  • Pulmonary Disease Physician
  • Clinton, SC
  • NPI 1912119371

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Jennifer McAbee Burgess, APRN

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1215621503
  Medicare reassignment NPD
• Ryan Sattar, DNP

  • Nurse Practitioner
  • Clinton, SC
  • NPI 1871151753
  Medicare reassignment NPD
• Guendalina Chesney, FNP-BC

  • Family Nurse Practitioner
  • Simpsonville, SC
  • NPI 1043628027
  NPD
• Ravikumar K Patel, D.O.

  • Internal Medicine Physician
  • Newberry, SC
  • NPI 1629285150
  NPD (past)
• Nina Ezinne Nwoko, NP

  • Acute Care Nurse Practitioner
  • Boise, ID
  • NPI 1689261679
  NPD (past)

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1114277472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHAMBLEE BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156731",
            "telephone_number": "864-400-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR STE N",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-547-2160",
            "fax_number": "864-547-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PULMONARY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-714-9827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "TL1571",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "TL1571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Maureen Phillips, FNP-C
• Physical Rehabilitation Group, LLC
• Physician Management Services of South Carolina, LLC
• Piedmont Pediatrics LLC
• Piedmont Pediatrics LLC
• Piedmont Regional Urology
• Kristal Smith Pitts
• Molly Pitts, OTR/L
• Pragma Home Healthcare LLC
• Presbyterian College

• Pulmonary Disease Physician in Clinton, SC
• Providers in Clinton, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.