NPIMap

Piedmont Health Services, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Efland, NC

NPI 1447135652 · NPPES record last updated Aug 7, 2025

Key facts

NPI
1447135652
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
PIEDMONT HEALTH SERVICES, INC.
Practice address
4801 W Ten Rd
Efland, NC 27243-9770
Phone
(919) 245-4050
NPI assigned
Aug 7, 2025
Organization subpart
Yes
Parent organization (as reported)
PIEDMONT HEALTH SERVICES, INC.

Authorized official

Name
Daniella Jaimes-Colina
Title
Ceo
Phone
(407) 369-0189

Owned or controlled facilities with NPI records 5

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

Other NPIs with the same Medicare PAC ID 13

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

Corporate family (same tax ID) 32

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

View all 32

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

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
Corporation · Non-profit
Enrollment address
4801 W Ten Rd
Efland, NC 27243-9770

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 Officer
Cfo		 Jan 15, 2024
Operational/Managerial Control
Cfo		 Jan 15, 2024
Victoria Freeman
Individual 		Corporate Officer
Board 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 Center
Burlington, NC · CCN 341957		 Federally qualified health center Operational/Managerial Control Dec 10, 2010
Sylvan Community Health Center
Snow Camp, NC · CCN 341986		 Federally qualified health center Operational/Managerial Control Aug 1, 2012
Chapel Hill Community Health Center
Chapel Hill, NC · CCN 341038		 Federally qualified health center Operational/Managerial Control Aug 7, 2025
Chapel Hill Community Health Center
Chapel Hill, NC · CCN B61068		 Federally qualified health center Operational/Managerial Control Jul 1, 2025
Sanford Community Health Center
Sanford, NC · CCN B61069		 Federally qualified health center Operational/Managerial Control Jul 9, 2025

Medicare enrollment records

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

National Provider Directory

Tax ID family
Piedmont Senior Care (33 organizations share this tax ID)
Part of
Piedmont Senior Care

Locations

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

Specialties & licenses

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

Addresses

Primary practice location

4801 W Ten Rd
Efland, NC 27243-9770

Mailing address

PO Box 17179
Chapel Hill, NC 27516-7179
Phone (919) 933-8494

Other names

  • Piedmont Gravelly Hill School Based Behavioral Health Doing business as

Other providers in Efland, NC

All providers in Efland, NC · Federally Qualified Health Center (FQHC) in North Carolina

Sources for this page

Verify at the official NPI Registry.