Organization Active NPI

Piedmont Integrative Medicine

  • Primary Care Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1497947261
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
36139 Issued in NC
Legal business name
PIEDMONT INTEGRATIVE MEDICINE
Practice address
1411 Plaza West Dr
Suite B
Winston Salem, NC 27103-1482
Phone
(336) 760-0240
Fax
(336) 760-4568
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Alexander T. Augoustides, M.D.NPI 1740377076
Title
Owner
Phone
(336) 760-0240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 36139 NC Primary

Addresses

Primary practice location

1411 Plaza West Dr
Suite B
Winston Salem, NC 27103-1482

Mailing address

1411 Plaza West Dr
Suite B
Winston Salem, NC 27103-1482
Phone (336) 760-0240

Other identifiers 1

IdentifierTypeStateIssuer
2339957OtherNCMEDICARE GROUP NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1029653Piedmont Integrative Medicine PA1411 Plaza West Road Ste B, Winston Salem, NC 27103Provider-performed microscopyAug 19, 2026

National Provider Directory

National Provider Directory

Locations

1411 Plaza West Rd
Ste B
Winston Salem, NC 27103
Phone (336) 760-0240

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1497947261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 PLAZA WEST DR",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031482",
            "telephone_number": "336-760-0240",
            "fax_number": "336-760-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 PLAZA WEST DR",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031482",
            "telephone_number": "336-760-0240",
            "fax_number": "336-760-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "AUGOUSTIDES",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "36139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "2339957",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.