Piedmont Labs, Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PIEDMONT LABS, CORP

Practice address

2635 S Cobb Dr SE
Smyrna, GA 30080-1845

Phone

(404) 910-9116

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Takki MominNPI 1871212563

Title

President

Phone

(404) 910-9116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

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

• Takki Momin, MD

  • Clinical Laboratory Director (Non-physician)
  • Atlanta, GA
  • NPI 1871212563
  NPD Authorized official

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1215633185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801845",
            "telephone_number": "404-910-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801845",
            "telephone_number": "404-910-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT LABS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "TAKKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-910-9116"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nalley Phillips, MS, CCC-SLP
• Shay Phillips, PHARMD
• Jeremiah Philogene
• Physicals Plus
• Physiotherapy Associates Inc
• Piedmont Medical Care Corporation
• Terrence K Pierce, CAC
• Ekaterina Pik, PMHNP
• Pinnacle First Assist, LLC
• Kelsey Pipp

• Clinical Medical Laboratory in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.