Active NPI
Piedmont General Surgery Associates, LLC
- Surgery Physician
- Rock Hill, SC
National Provider Identifier
1639459027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PIEDMONT GENERAL SURGERY ASSOCIATES, LLC
- Practice address
- 200 S Herlong Ave
Suite G
Rock Hill, SC 29732-3399 - Phone
- (803) 909-6300
- Fax
- (803) 909-6310
- NPI assigned
- Aug 17, 2011
- Last updated
- Apr 19, 2013
- 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
- Michael Kyle Burtnett
- Title
- SVP of Outpatient Services, Tenet
- Phone
- (469) 893-2153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
200 S Herlong Ave
Suite G
Rock Hill, SC 29732-3399
Mailing address
PO Box 741841
Atlanta, GA 30374-1841
Phone (803) 909-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5793 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgery Physician
- Roanoke, VA
- NPI 1366635880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366329600000",
"number": "1639459027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741841",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741841",
"telephone_number": "803-909-6300",
"fax_number": "803-909-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S HERLONG AVE",
"address_2": "SUITE G",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323399",
"telephone_number": "803-909-6300",
"fax_number": "803-909-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT GENERAL SURGERY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-17",
"last_updated": "2013-04-19",
"status": "A",
"authorized_official_last_name": "BURTNETT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
"authorized_official_telephone_number": "469-893-2153"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5793",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
- Piedmont Dental Partners LLC
- Piedmont Dental Partners LLC (Piedmont Dental)
- Piedmont East Urgent Care Center LLC (Piedmont East Urgent Care)
- Piedmont Endocrinology Medical Associates, PA
- Piedmont Family Practice at Rock Hill, LLC
- Piedmont Gynecological and Obstetrical Associates
- Piedmont Medical Center
- Piedmont Medical Equipment
- Piedmont Podiatry Group
- Piedmont Psychiatricassociates,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.