Piedmont Wellness Group, L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PIEDMONT WELLNESS GROUP, L.L.C.

Practice address

3516 Vest Mill Rd Ste L1
Winston Salem, NC 27103-2979

Phone

(336) 793-8283

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. D'Nodrick Michael Hicks

Title

Director

Phone

(336) 793-8283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1164655510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 VEST MILL RD STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 VEST MILL RD STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032979",
            "telephone_number": "336-793-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT WELLNESS GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "D'NODRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-793-8283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Radiation Oncology P a
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• Piedmont Triad Anesthesia, PA
• Amy M Pierce, D.M.D
• Anthony Alan Pierce, GNP
• Dwayne Allen Pierce, PHARMD
• Helen Elizabeth Pierce, M.D.
• Joseph James Pierce III, MD

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.