Internal Medicine &Psychiatric Services of the Piedmont

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200501179 Issued in NC

Legal business name

INTERNAL MEDICINE &PSYCHIATRIC SERVICES OF THE PIEDMONT

Practice address

929 15TH St NE
Suite 100
Hickory, NC 28601-4161

Phone

(828) 325-0555

Fax

(828) 267-7555

NPI assigned

Sep 3, 2009

Last updated

Jun 25, 2015By 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

Mrs. Teresa P Killian

Title

Practice Manager

Phone

(828) 325-0555

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• IMPSP Other name

Practitioners 3

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.

• Kim Houser Evans, FNP

  • Primary Care Nurse Practitioner
  • Hickory, NC
  • NPI 1073596466
  NPD (past)
• Mandy Miller Ferguson, FNP-C

  • Family Nurse Practitioner
  • Taylorsville, NC
  • NPI 1760754881
  NPD (past)
• Elizabeth M Owens, PA-C

  • Physician Assistant
  • Newton, NC
  • NPI 1336144377
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1417180662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031447",
            "telephone_number": "828-325-0555",
            "fax_number": "828-267-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE",
            "address_2": "SUITE 100",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014161",
            "telephone_number": "828-325-0555",
            "fax_number": "828-267-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE &PSYCHIATRIC SERVICES OF THE PIEDMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-325-0555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200501179",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200501179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "513278",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913662",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ4195",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "022MM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Integrated Dermatology of Hickory, PLLC
• Integrative Treatment Services LLC
• Interim Healthcare of the Triad, Inc.
• Interim Healthcare of the Triad, Inc.
• Interim Healthcare of the Triad, Inc.
• Internal Medicine Group, PA
• Iredell Physician Network (Iredell Neurospine)
• Bonita Christiansen Irvin, RD, LDN
• Jennifer Love Isaac, RN, WHNP
• Mark-Mina Maher Ishak, D.O.

• Internal Medicine Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.