Piedmont Family Practice at Rock Hill, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT FAMILY PRACTICE AT ROCK HILL, LLC

Practice address

2633 Celanese Rd
Rock Hill, SC 29732-1205

Phone

(803) 325-1770

Fax

(803) 325-1790

NPI assigned

May 28, 2008

Last updated

Jun 23, 2016By 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. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other identifiers 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

Practitioners 2

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.

• Katrina Herring, MD

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1942409651
  NPD (past)
• Leann Michelle Rettell-Isla, D.O.

  • Family Medicine Physician
  • Monroe, NC
  • NPI 1831400605
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1306004221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321205",
            "telephone_number": "803-325-1770",
            "fax_number": "803-325-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321205",
            "telephone_number": "803-325-1770",
            "fax_number": "803-325-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY PRACTICE AT ROCK HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4897",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piedmont Carolinas Radiation Therapy LLC (Rock Hill Radiation Therapy Center)
• Piedmont Dental Partners LLC
• Piedmont Dental Partners LLC (Piedmont Dental)
• Piedmont East Urgent Care Center LLC (Piedmont East Urgent Care)
• Piedmont Endocrinology Medical Associates, PA
• Piedmont General Surgery Associates, LLC
• Piedmont Gynecological and Obstetrical Associates
• Piedmont Medical Center
• Piedmont Medical Equipment
• Piedmont Podiatry Group

• Family Medicine Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.