Piedmont Health Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Burlington, NC
NPI 1497058804 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1497058804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PIEDMONT HEALTH SERVICES, INC.
- Practice address
- 1214 Vaughn Rd
Ste 101
Burlington, NC 27217-2863 - Phone
- (336) 532-0000
- NPI assigned
- Dec 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniella Jaimes-Colina
- Title
- Ceo
- Phone
- (984) 358-4691
Owners & managing parties with NPI records 13
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 13
Facilities with the same owner 4
Practitioners 49
-
Meredith Parvin, MS, RDN, LDN, CDCES
-
Elena Marie Adamo, M.D., M.P.H.
-
Evan A Ashkin, MD
-
Maritza Parchment Crawley, MSW, LCSW
-
Joan E East, M.D.
-
Karolyn Beth Forbes, M.D.
-
Rebecca Ann Kooistra, FNP
-
Kama Lyons, FNP
-
Jennifer Leah Mahoney, RN, MSN, FNP
-
Francia Elena Marin, FNP
-
William Martin, MD
-
Helen M Mikul, CNM
-
Nandini Rao Murthi, M.D.
-
Sarah Elizabeth Johnson Patel, MD, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC
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
- Corporation · Non-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
- Corporation · Non-profit
- Enrollment address
- 1214 Vaugh Rd
Burlington, NC 27217-2863
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Alexander Gonzalez |
Corporate Director | Dec 1, 2010 | |
| Beverly Moore |
Corporate Director | Dec 1, 2010 | |
| Eleanor Helms |
Corporate Director | Dec 1, 2010 | |
| Delys Vogel |
Corporate Director | Dec 1, 2010 | |
| Piedmont Health Services Inc |
Operational/Managerial Control | Dec 10, 2010 | |
| Daniella Jaimes-Colina |
Corporate Director |
Aug 18, 2025 | |
| W-2 Managing Employee |
Aug 18, 2025 | ||
| Randal Stewart |
Corporate Director | Dec 1, 2010 | |
| Lydia Mason |
W-2 Managing Employee | Dec 1, 2010 | |
| Corporate Director |
Nov 16, 2005 | ||
| W-2 Managing Employee | Jan 3, 2005 | ||
| Operational/Managerial Control |
Nov 16, 2002 | ||
| Stephanie a Triantafillou |
Corporate Director | Dec 1, 2010 | |
| Delmis Santos Kohler |
Corporate Director | Dec 1, 2010 | |
| Delores Ramsey |
Corporate Director | Dec 1, 2010 | |
| Victoria Freeman |
Corporate Director | Dec 1, 2010 | |
| George Pink |
Corporate Director | Dec 1, 2010 | |
| Joseph Warren |
Corporate Director | Dec 1, 2010 | |
| Melania Xiomara Layton |
Corporate Director | Dec 1, 2010 | |
| Richard Enoch |
Corporate Director | Dec 1, 2010 | |
| Karen Barrows |
Corporate Director | Dec 1, 2010 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Sylvan Community Health Center |
Federally qualified health center | Operational/Managerial Control | Aug 1, 2012 |
| Chapel Hill Community Health Center |
Federally qualified health center | Operational/Managerial Control | Aug 7, 2025 |
| Chapel Hill Community Health Center |
Federally qualified health center | Operational/Managerial Control | Jul 1, 2025 |
| Sanford Community Health Center |
Federally qualified health center | Operational/Managerial Control | Jul 9, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
1214 Vaughn Rd
Ste 101
Burlington, NC 27217
Phone (336) 506-5840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NC | Yes |
Addresses
Primary practice location
1214 Vaughn Rd
Ste 101
Burlington, NC 27217-2863
Mailing address
88 Vilcom Center Dr Ste 110
Chapel Hill, NC 27514-1660
Phone (919) 933-8494
Other names
- Burlington Community Health Center
Other providers in Burlington, NC
- Timothy A Pickett Jr.
- Piedmont Health Services Inc
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Piedmont Senior Care
- Piedmont Stone Center
All providers in Burlington, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.