Active NPI
Piedmont Integrative Medicine
- Primary Care Clinic/Center
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 36139
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2339957 | Other | NC | MEDICARE GROUP NUMBER |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1029653 | Piedmont Integrative Medicine PA | Provider-performed microscopy | Aug 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1740377076
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
- Piedmont Hem Onc Associates
- Piedmont Hematology-Oncology Associates, PLLC
- Piedmont Homehealth, Inc.
- Piedmont Imaging LLC
- Piedmont Imaging LLC
- Piedmont Outpatient Surgery Center, LLC
- Piedmont Premium Care Counseling,LLC
- Piedmont Premium Care,LLC
- Piedmont Premium Care,LLC
- Piedmont Radiation Oncology P a
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.