Piedmont Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Carrboro, NC
NPI 1164526109 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1164526109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PIEDMONT HEALTH SERVICES, INC.
- Practice address
- 301 Lloyd St
Carrboro, NC 27510-1823 - Phone
- (919) 942-8741
- Fax
- (919) 942-1473
- NPI assigned
- Sep 11, 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 106
-
Elena Marie Adamo, M.D., M.P.H.
-
Joan E East, M.D.
-
Karolyn Beth Forbes, M.D.
-
Rebecca Ann Kooistra, FNP
-
William Martin, MD
-
Helen M Mikul, CNM
-
Meredith Parvin, MS, RDN, LDN, CDCES
-
Sarah Elizabeth Johnson Patel, MD, MPH
-
Karen Earle Smith, LCSW
-
Thomas H Wroth, MD
-
Rebecca Pettigrew Zidman, MS, RDN, LDN
-
Robin A Whitten, P.A.
-
Nicole Felice Bilzi, DMD
-
Harriett Purves Burns, M.D.
-
Alice Blake Fennessy, MSW, LCSW
-
Natalie Logan Fowler, M.D.
-
Emily Headrick, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0239422 | Carrboro 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 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
- Corporation · Non-profit
- Incorporated
- Mar 11, 1970 in NC
- Enrollment address
- 301 Lloyd St
Carrboro, NC 27510-1823
All disclosed owners & managing parties 13
| 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 | |
| Daniella Jaimes-Colina |
Corporate Director |
Jul 1, 2025 | |
| W-2 Managing Employee |
Jul 1, 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 | |
| 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 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 |
National Provider Directory
Locations
105 Conner Dr
Chapel Hill, NC 27514
107 Conner Dr
Chapel Hill, NC 27514
Phone (919) 951-7600
1828 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 951-7600
7718 Sylvan Rd
Snow Camp, NC 27349
Phone (336) 506-0631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
301 Lloyd St
Carrboro, NC 27510-1823
Mailing address
88 Vilcom Center Dr Ste 110
Chapel Hill, NC 27514-1660
Phone (919) 933-8494
Other names
- Carrboro Community Health Center
Other providers in Carrboro, NC
- Joshua Paul Phillips
- Piedmont Health Services Inc
- Piedmont Health Services, Inc
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Play to Grow OT LLC
- Joseph Arthur Polich
- Matthew S. Polly
- Lizzette I Potthoff
- Reiss Powell
All providers in Carrboro, 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.