NPIMap

Organization Active NPI

Piedmont Pediatrics LLC

  • Pediatrics Physician
  • Clinton, SC
National Provider Identifier
1407685506
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PIEDMONT PEDIATRICS LLC
Doing business as
Piedmont Pediatrics LLC
Practice address
996 Medical Ridge Rd
Clinton, SC 29325-4541
Phone
(864) 833-5654
Fax
(864) 833-2786
NPI assigned
Jul 29, 2024
Organization subpart
Yes
Parent organization
PIEDMONT PEDIATRICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Karen Nolen
Title
Practice Manager
Phone
(864) 438-3143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

996 Medical Ridge Rd
Clinton, SC 29325-4541

Mailing address

996 Medical Ridge Rd
Clinton, SC 29325-4541
Phone (864) 833-5654

Other names 1

  • Piedmont Pediatrics LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Pediatrics LLC3 organizations share this tax ID, including this one
Part of
Piedmont Pediatrics LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1407685506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 MEDICAL RIDGE RD",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293254541",
            "telephone_number": "864-833-5654",
            "fax_number": "864-833-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 MEDICAL RIDGE RD",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293254541",
            "telephone_number": "864-833-5654",
            "fax_number": "864-833-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PEDIATRICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT PEDIATRICS LLC",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-438-3143"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pediatrics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.