NPIMap

Organization Active NPI

Piedmont Health Services, Inc.

Doing business as Piedmont Gravelly Hill School Based Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
National Provider Identifier
1447135652
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PIEDMONT HEALTH SERVICES, INC.
Doing business as
Piedmont Gravelly Hill School Based Behavioral Health
Practice address
4801 W Ten Rd
Efland, NC 27243-9770
Phone
(919) 245-4050
NPI assigned
Aug 7, 2025
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PIEDMONT HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Elizabeth Moseley
Title
Cfo
Phone
(980) 496-9144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4801 W Ten Rd
Efland, NC 27243-9770

Mailing address

2525 Meridian Pkwy Ste 400
Durham, NC 27713-2261
Phone (980) 496-9144

Other names 1

  • Piedmont Gravelly Hill School Based Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260423000199 NC Part A Provider - Federally Qualified Health Center (FQHC) 3476462102 Practice locations: Efland, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447135652. Details of each certification follow.

Federally qualified health center certification: CCN B61088

Legal name
PIEDMONT HEALTH SERVICES INC
Doing business as
PIEDMONT GRAVELLY HILL SCHOOL BASED BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 22, 2026
Last certification
Apr 22, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
4801 W Ten Rd
Efland, NC 27243-9770

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Senior Care33 organizations share this tax ID, including this one
Part of
Piedmont Senior Care

Other organizations with this tax ID 32

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

View all 32

Locations

4801 W Ten Rd
Efland, NC 27243
Phone (919) 245-4050

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniella Jaimes-Colina Individual Corporate OfficerCfo Jan 15, 2024
Operational/Managerial ControlCfo Jan 15, 2024
Victoria Freeman Individual Corporate OfficerBoard Member Sep 1, 2011

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burlington Community Health CenterBurlington, NC, CCN 341957 Federally qualified health center Operational/Managerial Control Dec 10, 2010
Sylvan Community Health CenterSnow Camp, NC, CCN 341986 Federally qualified health center Operational/Managerial Control Aug 1, 2012
Chapel Hill Community Health CenterChapel Hill, NC, CCN 341038 Federally qualified health center Operational/Managerial Control Aug 7, 2025
Chapel Hill Community Health CenterChapel Hill, NC, CCN B61068 Federally qualified health center Operational/Managerial Control Jul 1, 2025
Sanford Community Health CenterSanford, NC, CCN B61069 Federally qualified health center Operational/Managerial Control Jul 9, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1447135652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MERIDIAN PKWY STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132261",
            "telephone_number": "980-496-9144",
            "fax_number": "919-933-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W TEN RD",
            "city": "EFLAND",
            "state": "NC",
            "postal_code": "272439770",
            "telephone_number": "919-245-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT HEALTH SERVICES, INC.",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "980-496-9144"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Gravelly Hill School Based Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Efland, NC

Sources for this page

Verify at the official NPI Registry.