Pace of the Southern Piedmont

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PACE OF THE SOUTHERN PIEDMONT

Practice address

6133 The Plaza
Charlotte, NC 28215

Phone

(704) 887-3840

Fax

(704) 887-3844

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 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

Mr. James Richard Graham

Title

Executive Director

Phone

(704) 887-3840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1730439571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 THE PLAZA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28215",
            "telephone_number": "704-887-3840",
            "fax_number": "704-887-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 THE PLAZA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28215",
            "telephone_number": "704-887-3840",
            "fax_number": "704-887-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE OF THE SOUTHERN PIEDMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-887-3840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Ebidoye Oye, DO
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• Laura Katherine Pace, PA
• Jill P Pacelli, PT
• Maria C Pacheco Cutler, LCMHCA
• Samantha C Pacheco, LCSW
• Rhya Pachin, RDN

• PACE Provider Organization in Charlotte, NC
• Providers in Charlotte, NC by specialty
• PACE Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.