Organization Active NPI

Piedmont Cardiology PA

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1558568626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PIEDMONT CARDIOLOGY PA
Practice address
4301 Lake Boone TRL
Suite 309
Raleigh, NC 27607-7507
Phone
(336) 272-6133
NPI assigned
Jun 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mitchell S Collman, MDNPI 1962454884
Title
President
Phone
(336) 272-6133

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
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

4301 Lake Boone TRL
Suite 309
Raleigh, NC 27607-7507

Mailing address

4301 Lake Boone TRL
Suite 309
Raleigh, NC 27607-7507

National Provider Directory

National Provider Directory

Locations

4301 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 231-6132

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558568626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL",
            "address_2": "SUITE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL",
            "address_2": "SUITE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507",
            "telephone_number": "336-272-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-272-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.