Piedmont Care, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT CARE, INC.

Practice address

101 N Pine St Ste 200
Spartanburg, SC 29302-1604

Phone

(864) 582-7773

Fax

(864) 582-8637

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Tracey Jackson

Title

Executive Director

Phone

(864) 582-7773

Specialties & licenses 1

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 5

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

• Robin Lindsey Frank, FNP

  • Family Nurse Practitioner
  • Spartanburg, SC
  • NPI 1306690979
  Medicare reassignment Care Compare group NPD
• Steven Todd Wallenius, M.D.

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1457446163
  Medicare reassignment Care Compare group NPD
• Steve Michael Garman, M.D.

  • Family Medicine Physician
  • Elizabeth City, NC
  • NPI 1245267558

  SC

  Medicare reassignment Care Compare group NPD
• Thomas N Kias, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1609848373

  SC

  Medicare reassignment Care Compare group NPD
• Crystal Suzanne Mullinax, FNP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1013473107
  Medicare reassignment NPD

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1114403342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PINE ST STE 200",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021604",
            "telephone_number": "864-582-7773",
            "fax_number": "864-582-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PINE ST STE 200",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021604",
            "telephone_number": "864-582-7773",
            "fax_number": "864-582-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-582-7773"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Phillips, MD
• Thomas W Phillips Jr., MD
• Vickie Phillips
• Christine Hidalgo Philpott, M.D.
• Charles Andrew Pickens, M.D.
• Piedmont Colon & Rectal Surgery Center
• Piedmont Dental Center
• Piedmont Dental Center
• Piedmont Imaging Inc
• Piedmont Imaging, LLC

• Family Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.