NPIMap

Organization Active NPI

Piedmont Radiological Associates, P.a.

  • Diagnostic Radiology Physician
  • Salisbury, NC
National Provider Identifier
1194788935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PIEDMONT RADIOLOGICAL ASSOCIATES, P.A.
Practice address
401 Mocksville Ave
Suite 100
Salisbury, NC 28144-2735
Phone
(704) 633-1022
Fax
(704) 633-6711
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Hurlocker Eagle
Title
Operations Manager
Phone
(704) 633-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

401 Mocksville Ave
Suite 100
Salisbury, NC 28144-2735

Mailing address

401 Mocksville Ave
Suite 100
Salisbury, NC 28144-2735
Phone (704) 633-1022

Other identifiers 2

IdentifierTypeStateIssuer
8902420MedicaidNC
149583OtherNCMAMMOGRAPHY CERTIFICATION

National Provider Directory

National Provider Directory

Locations

1515 W Innes St
Salisbury, NC 28144
Phone (704) 633-1022

401 Mocksville Ave
Ste 100
Salisbury, NC 28144
Phone (704) 633-1022

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194788935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOCKSVILLE AVE",
            "address_2": "SUITE 100",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442735",
            "telephone_number": "704-633-1022",
            "fax_number": "704-633-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOCKSVILLE AVE",
            "address_2": "SUITE 100",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442735",
            "telephone_number": "704-633-1022",
            "fax_number": "704-633-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT RADIOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "HURLOCKER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-633-1022"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902420",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY CERTIFICATION",
            "identifier": "149583",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.