NPIMap

Organization Active NPI

Piedmont Health Services, Inc.

Doing business as Burlington Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Burlington, NC
National Provider Identifier
1497058804
Registry record updated Oct 6, 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
Burlington Community Health Center
Practice address
1214 Vaughn Rd
Ste 101
Burlington, NC 27217-2863
Phone
(336) 532-0000
NPI assigned
Dec 8, 2010
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 NC Primary

Addresses

Primary practice location

1214 Vaughn Rd
Ste 101
Burlington, NC 27217-2863

Mailing address

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

Other names 1

  • Burlington Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031114000118 NC Part B Supplier - Clinic/Group Practice 3476462102 Receives reassigned benefits from 42 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prospect Hill, NC; Snow Camp, NC; Siler City, NC; Moncure, NC; Chapel Hill, NC; Carrboro, NC; Burlington, NC
O20110127000718 NC Part A Provider - Federally Qualified Health Center (FQHC) 3476462102 Practice locations: Burlington, NC
O20250707001679 NC Part A Provider - Federally Qualified Health Center (FQHC) 3476462102 Practice locations: Burlington, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1497058804. Details of each certification follow.

Federally qualified health center certification: CCN 341957

Legal name
PIEDMONT HEALTH SERVICES INC
Doing business as
BURLINGTON COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 24, 2011
Last certification
Jun 24, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 11, 1970 in NC
Enrollment address
1214 Vaughn Rd
Burlington, NC 27217-2863

Federally qualified health center certification: CCN B61063

Legal name
PIEDMONT HEALTH SERVICES INC
Doing business as
BURLINGTON COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 2, 2025
Last certification
Apr 2, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1214 Vaugh Rd
Burlington, NC 27217-2863

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1214 Vaughn Rd
Ste 101
Burlington, NC 27217
Phone (336) 506-5840

299 Lloyd St
Carrboro, NC 27510
Phone (919) 933-8494

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Alexander Gonzalez Individual Corporate Director Dec 1, 2010
Beverly Moore Individual Corporate Director Dec 1, 2010
Eleanor Helms Individual Corporate Director Dec 1, 2010
Delys Vogel Individual Corporate Director Dec 1, 2010
Piedmont Health Services Inc Organization, Burlington, NC Operational/Managerial Control Dec 10, 2010
Daniella Jaimes-Colina Individual Corporate DirectorCeo Aug 18, 2025
W-2 Managing EmployeeCeo Aug 18, 2025
Randal Stewart Individual Corporate Director Dec 1, 2010
Lydia Mason Individual W-2 Managing Employee Dec 1, 2010
Corporate DirectorCfo Nov 16, 2005
W-2 Managing Employee Jan 3, 2005
Operational/Managerial ControlCfo Nov 16, 2002
Stephanie a Triantafillou Individual Corporate Director Dec 1, 2010
Delmis Santos Kohler Individual Corporate Director Dec 1, 2010
Delores Ramsey Individual Corporate Director Dec 1, 2010
Victoria Freeman Individual Corporate Director Dec 1, 2010
George Pink Individual Corporate Director Dec 1, 2010
Joseph Warren Individual Corporate Director Dec 1, 2010
Melania Xiomara Layton Individual Corporate Director Dec 1, 2010
Richard Enoch Individual Corporate Director Dec 1, 2010
Karen Barrows Individual Corporate Director Dec 1, 2010

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
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 4

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1497058804",
    "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": "1214 VAUGHN RD",
            "address_2": "STE 101",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172863",
            "telephone_number": "336-532-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "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": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.