NPIMap

Organization Active NPI

Piedmont Health Services, Inc.

Doing business as Carrboro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
National Provider Identifier
1164526109
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PIEDMONT HEALTH SERVICES, INC.
Doing business as
Carrboro Community Health Center
Practice address
301 Lloyd St
Carrboro, NC 27510-1823
Phone
(919) 942-8741
Fax
(919) 942-1473
NPI assigned
Sep 11, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Elizabeth Moseley
Title
Cfo
Phone
(980) 496-9144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

301 Lloyd St
Carrboro, NC 27510-1823

Mailing address

2525 Meridian Pkwy Ste 400
Durham, NC 27713-2261
Phone (980) 496-9144

Other names 1

  • Carrboro Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031114000118 NC Part B Supplier - Clinic/Group Practice 3476462102 Receives reassigned benefits from 42 practitioners
8 other NPIs on this enrollment
Practice locations: Prospect Hill, NC; Snow Camp, NC; Siler City, NC; Moncure, NC; Chapel Hill, NC; Carrboro, NC; Burlington, NC
O20051116000439 NC Part A Provider - Federally Qualified Health Center (FQHC) 3476462102 Practice locations: Carrboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164526109. Details of each certification follow.

Federally qualified health center certification: CCN 341813

Legal name
PIEDMONT HEALTH SERVICES INC
Doing business as
CARRBORO 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
CorporationNon-profit
Incorporated
Mar 11, 1970 in NC
Enrollment address
301 Lloyd St
Carrboro, NC 27510-1823

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0239422Carrboro Health Center301 Lloyd St, Carrboro, NC 27510Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

105 Conner Dr
Chapel Hill, NC 27514

107 Conner Dr
Chapel Hill, NC 27514
Phone (919) 951-7600

1301 Central Dr
Ste B
Sanford, NC 27330
Phone (919) 545-5404

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alexander Gonzalez Individual Corporate Director Jul 12, 2010
Beverly Moore Individual Corporate Director Jul 12, 2010
Eleanor Helms Individual Corporate Director Jul 12, 2010
Daniella Jaimes-Colina Individual Corporate DirectorCeo Jul 1, 2025
W-2 Managing EmployeeCeo Jul 1, 2025
Randal Stewart Individual Corporate Director Jul 12, 2010
Stephanie a Triantafillou Individual Corporate Director Jul 12, 2010
Delmis Santos Kohler Individual Corporate Director Jul 12, 2010
Delores Ramsey Individual Corporate Director Jul 12, 2010
Victoria Freeman Individual Corporate Director Jul 12, 2010
George Pink Individual Corporate Director Jul 12, 2010
Joseph Warren Individual Corporate Director Jul 12, 2010
Melania Xiomara Layton Individual Corporate Director Jul 12, 2010
Karen Barrows Individual Corporate Director Jul 12, 2010

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burlington Community Health CenterBurlington, NC, CCN 341957 Federally qualified health center Operational/Managerial Control Dec 10, 2010
Sylvan Community Health CenterSnow Camp, NC, CCN 341986 Federally qualified health center Operational/Managerial Control Aug 1, 2012
Chapel Hill Community Health CenterChapel Hill, NC, CCN 341038 Federally qualified health center Operational/Managerial Control Aug 7, 2025
Chapel Hill Community Health CenterChapel Hill, NC, CCN B61068 Federally qualified health center Operational/Managerial Control Jul 1, 2025
Sanford Community Health CenterSanford, NC, CCN B61069 Federally qualified health center Operational/Managerial Control Jul 9, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 99

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.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1164526109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MERIDIAN PKWY STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132261",
            "telephone_number": "980-496-9144",
            "fax_number": "919-933-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LLOYD ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101823",
            "telephone_number": "919-942-8741",
            "fax_number": "919-942-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "980-496-9144"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrboro Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carrboro Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.