Piedmont Endocrinology, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

207RE0101X Issued in NC

Legal business name

PIEDMONT ENDOCRINOLOGY, PA

Practice address

311 9TH Avenue Dr NE
Hickory, NC 28601-3829

Phone

(828) 322-7338

Fax

(828) 304-6319

NPI assigned

Oct 11, 2006

Last updated

Oct 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kim G Staines

Title

Office Manager

Phone

(828) 322-7338

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Anthony Rodman Barber, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hickory, NC
  • NPI 1417926007
  Medicare reassignment Care Compare group NPD
• Venkatarama Sesker Donepudi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hickory, NC
  • NPI 1134198740
  Medicare reassignment Care Compare group NPD
• Remus B Bullard III, PA-C

  • Physician Assistant
  • Hickory, NC
  • NPI 1790728145
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1558459602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 9TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013829",
            "telephone_number": "828-322-7338",
            "fax_number": "828-304-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 9TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013829",
            "telephone_number": "828-322-7338",
            "fax_number": "828-304-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ENDOCRINOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "STAINES",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-322-7338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "207RE0101X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890236H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0236H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin S Phillips, MS CCC SLP
• Katelyn Galloway Phillips, NP
• Jason Michael Phillis, PA-C
• Physical Therapy Specialists, LLC
• Piedmont Counseling and Development Group
• Piedmont Infectious Disease Consultants P a
• Piedmont Medical Supply, Inc
• Piedmont Nephrology & Hypertension Associates, PA
• Piedmont Neurosurgery, PA
• Piedmont Obstetrics and Gynecology

• Endocrinology, Diabetes & Metabolism Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Endocrinology, Diabetes & Metabolism Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.