Piedmont Adult & Pediatric Medicine Associates, PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

9500419 Issued in NC

Legal business name

PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES, PA

Practice address

640 Summit Crossing PL
Suite 204
Gastonia, NC 28054-2138

Phone

(704) 865-0626

NPI assigned

Apr 3, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Adult and Pediatric Medicine Assoc Doing business as

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1134462633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SUMMIT CROSSING PL",
            "address_2": "SUITE 204",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542138",
            "telephone_number": "704-865-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "9500419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Adult and Pediatric Medicine Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phytcare LLC
• Heather Ann Pickford, MD
• Piedmont Adolescent Services
• Piedmont Adolescent Services Inc.
• Piedmont Adult & Pediatric Medicine Associates PA
• Piedmont Community Charter School
• Piedmont Counseling & Consulting PLLC
• Piedmont Eye Care O.D.,P.a.
• Piedmont Pharmacy LLC
• Piedmont Pioneer House, Inc.

• Non-Pharmacy Dispensing Site in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.