Piedmont Psychiatric Associates PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PIEDMONT PSYCHIATRIC ASSOCIATES PA

Practice address

2255 Lewisville Clemmons Rd Ste E
Clemmons, NC 27012-7463

Phone

(336) 766-0505

Fax

(336) 766-8586

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Jeffery Marshall, MDNPI 1104992627

Title

Owner

Phone

(336) 766-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

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

• William Jeffery Marshall, M.D.

  • Psychiatry Physician
  • Clemmons, NC
  • NPI 1104992627
  Medicare reassignment Authorized official
• Lisa Wagoner Hairston, LCMHC

  • Professional Counselor
  • Clemmons, NC
  • NPI 1821405952

  Mental Health

  NPD
• Karen Shugart, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1497370191
  NPD
• Judi A. Burkhart, LPC

  • Mental Health Counselor
  • Clemmons, NC
  • NPI 1346316866
  NPD (past)
• Robert Denig, LPC

  • Mental Health Counselor
  • Clemmons, NC
  • NPI 1114093648
  NPD (past)
• Steve Weston, LCSW

  • Clinical Social Worker
  • Clemmons, NC
  • NPI 1629144159
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1750468328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270120874",
            "telephone_number": "336-766-0505",
            "fax_number": "336-766-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 LEWISVILLE CLEMMONS RD STE E",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127463",
            "telephone_number": "336-766-0505",
            "fax_number": "336-766-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PSYCHIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-766-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902236",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Phipps, LCSW
• Piedmont Community Physicians PC
• Piedmont Community Physicians PC
• Piedmont Community Physicians, PC
• Piedmont Medical Solutions, Inc.
• Daniel Avery Pierce
• Clark William Pinyan, MD
• Lisa A Pivin, RN, IBCLC
• Deborah H Pollock, MD
• Jennifer Pomeroy, PSYD

• Mental Health Counselor in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.