Piedmont Eastside Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

PIEDMONT EASTSIDE RHEUMATOLOGY, LLC

Practice address

2121 Fountain Dr
Snellville, GA 30078-7023

Phone

(470) 725-9658

NPI assigned

Apr 9, 2022

Last updated

Apr 9, 2022By 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

Dr. Aloice O. Aluoch, MD, PHDNPI 1245541259

Title

Ceo

Phone

(470) 725-9658

Specialties & licenses 1

Addresses

Other names 1

• Divine Rheumatology LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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.

• Aloice O Aluoch, M.D., PH.D

  • Rheumatology Physician
  • Snellville, GA
  • NPI 1245541259
  Medicare reassignment Care Compare group NPD Authorized official
• Jasmara Dawn Surajh

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1588108211
  Medicare reassignment Care Compare group NPD
• April L Patrick, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1669288577

  Multi-Specialty

  Medicare reassignment NPD
• Anneliese Carey Hill, PA-C

  • Physician Assistant
  • Snellville, GA
  • NPI 1194420182
  Medicare reassignment

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1427790575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787023",
            "telephone_number": "901-283-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787023",
            "telephone_number": "470-725-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT EASTSIDE RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "ALUOCH",
        "authorized_official_first_name": "ALOICE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-725-9658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Rheumatology LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Phillips, RBT
• Phoenix Clinic and Afterhour Care
• Physical Rehab Medicine Specialists LLC
• Dale Piacentine
• Sarat Mallik Piduru, M.D.
• Daphne L Pierce-Smith, RN
• Lacretia Marie Pierce, FNP
• Clifford Pierre
• Linnea M Pilcher, APRN
• Teodoro Alberto Pineda, PA

• Rheumatology Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.