Piedmont Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Prospect Hill, NC
NPI 1154425890 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1154425890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PIEDMONT HEALTH SERVICES, INC.
- Practice address
- 322 Main St
Prospect Hill, NC 27314-9438 - Phone
- (336) 562-3311
- Fax
- (336) 562-4444
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniella Jaimes-Colina
- Title
- Ceo
- Phone
- (984) 358-4691
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 13
Practitioners 45
-
Elena Marie Adamo, M.D., M.P.H.
-
Evan A Ashkin, MD
-
Maritza Parchment Crawley, MSW, LCSW
-
Joan E East, M.D.
-
Karolyn Beth Forbes, M.D.
-
Rebecca Ann Kooistra, FNP
-
Kama Lyons, FNP
-
Jennifer Leah Mahoney, RN, MSN, FNP
-
Francia Elena Marin, FNP
-
William Martin, MD
-
Helen M Mikul, CNM
-
Nandini Rao Murthi, M.D.
-
Meredith Parvin, MS, RDN, LDN, CDCES
-
Sarah Elizabeth Johnson Patel, MD, MPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0238520 | Prospect Hill Community Health Center | Provider-performed microscopy | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Federally qualified health center certification: CCN 341828
- Legal name
- PIEDMONT HEALTH SERVICES INC
- Doing business as
- PROSPECT HILL COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 1, 1991
- Last certification
- Dec 1, 1991
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 11, 1970 in NC
- Enrollment address
- 322 Main St
Prospect Hill, NC 27314-9438
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Alexander Gonzalez |
Corporate Director | Jul 12, 2010 | |
| Beverly Moore |
Corporate Director | Jul 12, 2010 | |
| Eleanor Helms |
Corporate Director | Jul 12, 2010 | |
| Delys Vogel |
Corporate Director | Jul 12, 2010 | |
| Daniella Jaimes-Colina |
Corporate Director |
Aug 7, 2025 | |
| W-2 Managing Employee |
Aug 7, 2025 | ||
| Randal Stewart |
Corporate Director | Jul 12, 2010 | |
| Stephanie a Triantafillou |
Corporate Director | Jul 12, 2010 | |
| Delmis Santos Kohler |
Corporate Director | Jul 12, 2010 | |
| Delores Ramsey |
Corporate Director | Jul 12, 2010 | |
| Victoria Freeman |
Corporate Director | Jul 12, 2010 | |
| George Pink |
Corporate Director | Jul 12, 2010 | |
| Joseph Warren |
Corporate Director | Jul 12, 2010 | |
| Melania Xiomara Layton |
Corporate Director | Jul 12, 2010 | |
| Richard Enoch |
Corporate Director | Jul 12, 2010 | |
| Karen Barrows |
Corporate Director | Jul 12, 2010 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Burlington Community Health Center |
Federally qualified health center | Operational/Managerial Control | Dec 10, 2010 |
| Sylvan Community Health Center |
Federally qualified health center | Operational/Managerial Control | Aug 1, 2012 |
| Chapel Hill Community Health Center |
Federally qualified health center | Operational/Managerial Control | Aug 7, 2025 |
| Chapel Hill Community Health Center |
Federally qualified health center | Operational/Managerial Control | Jul 1, 2025 |
| Sanford Community Health Center |
Federally qualified health center | Operational/Managerial Control | Jul 9, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031114000118 | NC | Part B Supplier - Clinic/Group Practice | 3476462102 |
Receives reassigned benefits from 42 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Prospect Hill, NC; Snow Camp, NC; Siler City, NC; Moncure, NC; Chapel Hill, NC; Carrboro, NC; Burlington, NC |
| O20051021000853 | NC | Part a Provider - Federally Qualified Health Center (FQHC) | 3476462102 | Practice locations: Prospect Hill, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
322 Main St
Prospect Hill, NC 27314-9438
Mailing address
88 Vilcom Center Dr Ste 110
Chapel Hill, NC 27514-1660
Phone (919) 933-8494
Other names
- Prospect Hill Community Health Center
Other providers in Prospect Hill, NC
- Joan Floyd
- Homes That Care, Inc.
- Audrey Kemp
- Katrina Chaundani Mattison
- Sean Angela Williams Meltzer
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Evelyn Ponce Quintero
- Caleb Amos Smith
- Colton Turner
All providers in Prospect Hill, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.