Organization Active NPI

Piedmont Family Medicine, Occupational Health and Urgent Care, LLC

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1720473002
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200901873 Issued in NC
Legal business name
PIEDMONT FAMILY MEDICINE, OCCUPATIONAL HEALTH AND URGENT CARE, LLC
Practice address
2337 Winterhaven LN
Winston Salem, NC 27103-6792
Phone
(336) 760-8999
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
John Turner, MDNPI 1992760870
Title
Owner
Phone
(336) 760-8999

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
Family Medicine Physician 207Q00000X 200901873 NC Primary

Addresses

Primary practice location

2337 Winterhaven LN
Winston Salem, NC 27103-6792

Mailing address

2337 Winterhaven LN
Winston Salem, NC 27103-6792
Phone (336) 760-8999

Other identifiers 1

IdentifierTypeStateIssuer
200312120MedicaidNC

National Provider Directory

National Provider Directory

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1720473002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 WINTERHAVEN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036792",
            "telephone_number": "336-760-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 WINTERHAVEN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036792",
            "telephone_number": "336-760-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY MEDICINE, OCCUPATIONAL HEALTH AND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200901873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200312120",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.