Piedmont Physician Network LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PIEDMONT PHYSICIAN NETWORK LLC

Practice address

1023 Creekside Medical Dr
York, SC 29745-8624

Phone

(803) 684-3730

Fax

(803) 684-3808

NPI assigned

Oct 26, 2016

Reactivated

Sep 22, 2023

Last updated

Jun 12, 2024By 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

Brian Rasmus

Title

VP, Cfo TPR Tenet

Phone

(469) 893-2532

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 241

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.

• Frances Poe Bailey, MD

  • Obstetrics & Gynecology Physician
  • Rock Hill, SC
  • NPI 1154769149
  Medicare reassignment Care Compare group NPD
• George Talbert Barron, M.D.

  • Family Medicine Physician
  • Rock Hill, SC
  • NPI 1245251081
  Medicare reassignment Care Compare group NPD
• Rylee Smith Britt, APRN, FNP-C

  • Family Nurse Practitioner
  • York, SC
  • NPI 1437743119
  Medicare reassignment Care Compare group NPD
• Olivia Christina Burrell, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1407408107
  Medicare reassignment Care Compare group NPD
• Krystal Kayla Carmichael, MD

  • Obstetrics Physician
  • Fort Mill, SC
  • NPI 1053871921
  Medicare reassignment Care Compare group NPD
• Barry B.K. Chan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rock Hill, SC
  • NPI 1114900826
  Medicare reassignment Care Compare group NPD
• Jamila Michelle Crawford, M.D.

  • Obstetrics & Gynecology Physician
  • Rock Hill, SC
  • NPI 1295951903
  Medicare reassignment Care Compare group NPD
• Bennie Gloria Diamond, MD

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1932769312
  Medicare reassignment Care Compare group NPD
• Alex R. Espinal, M.D.

  • Surgery Physician
  • Rock Hill, SC
  • NPI 1821067034
  Medicare reassignment Care Compare group NPD
• Andrew Michael Futterman, DO

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1548780653
  Medicare reassignment Care Compare group NPD
• Michael Joseph Geoffrion, NP

  • Nurse Practitioner
  • Indian Land, SC
  • NPI 1437627320
  Medicare reassignment Care Compare group NPD
• Joliette Nicole Grace, M.D.

  • Surgery Physician
  • Rock Hill, SC
  • NPI 1104146133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1194277186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20003",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154095",
            "telephone_number": "708-342-6900",
            "fax_number": "708-614-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CREEKSIDE MEDICAL DR",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458624",
            "telephone_number": "803-684-3730",
            "fax_number": "803-684-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PHYSICIAN NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "deactivation_date": "2023-09-14",
        "reactivation_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TPR TENET",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radha Patel, DMD
• William Clellan Perkins, RPH
• PH & F Inc (Creekside Pharmacy)
• PH and F Inc (Medicap Pharmacy)
• Venessa Amanda Phillips, FNP-BC, FNP-C
• Katherine Piscatelli, DPT, ATC
• Taylor Addison Plummer-Fox
• PMC Physician Network, L.L.C. (Family Medicine Associates)
• PMC Physician Network, L.L.C.
• PMC Physician Network, LLC (Piedmont West Urgent Care Center)

• Internal Medicine Physician in York, SC
• Providers in York, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.