Organization Active NPI

Moses Cone Affiliated Physicians, Inc.

Doing business as Piedmont Pediatrics

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1326346602
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MOSES CONE AFFILIATED PHYSICIANS, INC.
Doing business as
Piedmont Pediatrics
Practice address
719 Green Valley Rd Ste 209
Greensboro, NC 27408-7025
Phone
(336) 272-9447
Fax
(336) 272-2112
NPI assigned
Mar 10, 2011
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Sally P Hammond
Title
Executive Director, CHMG Operations
Phone
(336) 663-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

719 Green Valley Rd Ste 209
Greensboro, NC 27408-7025

Mailing address

PO Box 745032
Atlanta, GA 30374-5032

Other identifiers 1

IdentifierTypeStateIssuer
024YVOtherNCBCBSNC

Other names 1

  • Piedmont Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Affiliated Physicians12 organizations share this tax ID, including this one
Part of
Moses Cone Mem Hosp

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1326346602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745032",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD STE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087025",
            "telephone_number": "336-272-9447",
            "fax_number": "336-272-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES CONE AFFILIATED PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2011-03-10",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, CHMG OPERATIONS",
        "authorized_official_telephone_number": "336-663-5007"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "024YV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Piedmont Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.