Piedmont Medical of SC LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19156 Issued in SC

Legal business name

PIEDMONT MEDICAL OF SC LLC

Practice address

317 N Logan St
Gaffney, SC 29341-2353

Phone

(864) 489-2588

NPI assigned

Jul 25, 2012

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

PIEDMONT MEDICAL OF SC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Khalid N. Soherwardy, MDNPI 1386625564

Title

Owner

Phone

(864) 489-2588

Specialties & licenses 1

Addresses

Part of

Piedmont Medical of SC LLC

Locations

Practitioners 1

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.

• Khalid N Soherwardy, M.D.

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1386625564
  NPD (past) Authorized official

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1538415799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293421599",
            "telephone_number": "864-489-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412353",
            "telephone_number": "864-489-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT MEDICAL OF SC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT MEDICAL OF SC, LLC",
        "enumeration_date": "2012-07-25",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "SOHERWARDY",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-489-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "19156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Phillips
• Frank F Phillips, M.D.
• Physical Rehabilitation Group, LLC
• Physical Therapy, Inc.
• Piedmont Family Eyecare
• Pamela Jean Pingitore, LMBT
• Poole Family Eye Care LLC
• Poole Family Eye Care of Gaffney LLC
• Nikki Vess Poole
• Raymond Gary Poole, O.D.

• Family Medicine Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.