Piedmont Healthcare, PA
Organization Active NPI Durable Medical Equipment & Medical Supplies · Statesville, NC
NPI 1366912255 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1366912255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PIEDMONT HEALTHCARE, PA
- Practice address
- 208 Old Mocksville Rd
Statesville, NC 28625-1953 - Phone
- (704) 402-1954
- Fax
- (978) 967-2735
- NPI assigned
- Dec 4, 2018
- Organization subpart
- No
Authorized official
- Name
- Greg Guin
- Title
- Cfo
- Phone
- (704) 873-4277
Other NPIs with the same Medicare PAC ID 8
Practitioners 226
-
Julie Willingham Abney, PA-C
-
Tania Mimi Acevedo, M.D.
-
Temesan Dinah Anukwuem, FNP-C
-
Laura Joan Arigo, MD
-
Leigh-Taylor Austin, FNP
-
Amanda Heather Bailey, D.O.
-
Candice Elyse Ball, APRN
-
Lori Josey Barker, FNP
-
Timothy Andrew Barker, M.D.
-
Nathan Dale Barkley, FNP
-
Christina Marie Bellina, FNP-C
-
Daniel Dwight Bellingham, M.D.
-
Kelly A Bennett, PA
-
Kristine M Bennett, PA-C
-
Elizabeth Benton, PA-C
-
Kenneth Evan Bloom, DPM
-
Andrew Joseph Braunstein, D.O.
-
Andrea Gentry Brock, PA-C
-
Jennifer Stroud Brooks, ANP-BC
-
Alicia Saville Brown, FNP-C
-
Kelly Marie Buchholz, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250225001750 | NC | DME Supplier - Physician - Podiatry |
9638070683 | Practice locations: Statesville, NC |
National Provider Directory
Locations
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
208 Old Mocksville Rd
Statesville, NC 28625-1953
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 402-1954
Other providers in Statesville, NC
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
All providers in Statesville, NC · Durable Medical Equipment & Medical Supplies in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.