Organization Active NPI

Piedmont Nephrology & Hypertension Associates, PA

  • Specialist
  • Hickory, NC
National Provider Identifier
1689673279
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32718 Issued in NC
Legal business name
PIEDMONT NEPHROLOGY & HYPERTENSION ASSOCIATES, PA
Practice address
1899 Tate Blvd SE
Suite 2101
Hickory, NC 28602-4200
Phone
(828) 327-7788
Fax
(828) 327-0112
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Linda Weaver
Title
Practice Manager
Phone
(828) 327-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 32718 NC Primary

Addresses

Primary practice location

1899 Tate Blvd SE
Suite 2101
Hickory, NC 28602-4200

Mailing address

1899 Tate Blvd SE
Suite 2101
Hickory, NC 28602-4200
Phone (828) 327-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000419 NC Part B Supplier - Clinic/Group Practice 0244319986 Receives reassigned benefits from 8 practitioners
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

2810 16th St NE
Fl 2
Hickory, NC 28601

2810 16th St NE
#2
Hickory, NC 28601

1899 Tate Blvd SE
Ste 103
Hickory, NC 28602
Phone (828) 324-9580

2810 16th St NE
#200
Hickory, NC 28601
Phone (828) 327-7700

1899 Tate Blvd SE
Ste 2101
Hickory, NC 28602
Phone (704) 327-7788

215 Church St NW
Ste A
Lenoir, NC 28645
Phone (828) 263-8707

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1689673279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE",
            "address_2": "SUITE 2101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-327-7788",
            "fax_number": "828-327-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE",
            "address_2": "SUITE 2101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-327-7788",
            "fax_number": "828-327-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT NEPHROLOGY & HYPERTENSION ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-327-7788"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "32718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.