Organization Active NPI

Piedmont Endocrinology, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, VA
National Provider Identifier
1174561815
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101234987 Issued in VA
Legal business name
PIEDMONT ENDOCRINOLOGY, INC.
Practice address
201 S Main St
Suite 3400
Danville, VA 24541-2927
Phone
(434) 791-4070
Fax
(434) 791-4072
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Hatim Ahmed Mahmoud, MD
Title
President
Phone
(434) 791-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 0101234987 VA Primary

Addresses

Primary practice location

201 S Main St
Suite 3400
Danville, VA 24541-2927

Mailing address

PO Box 16414
Chapel Hill, NC 27516-6414
Phone (866) 497-8332

Other identifiers 2

IdentifierTypeStateIssuer
289591OtherVABC/BS - MAHMOUD
890668GMedicaidNC

National Provider Directory

National Provider Directory

Locations

110 Exchange St
Ste D
Danville, VA 24541
Phone (434) 791-4070

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1174561815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16414",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166414",
            "telephone_number": "866-497-8332",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "address_2": "SUITE 3400",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412927",
            "telephone_number": "434-791-4070",
            "fax_number": "434-791-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ENDOCRINOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "HATIM",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-791-4070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101234987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - MAHMOUD",
            "identifier": "289591",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890668G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.