Piedmont Internal Medicine, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PIEDMONT INTERNAL MEDICINE, INC

Practice address

125 Executive Dr
Suite H
Danville, VA 24541-4155

Phone

(434) 791-1345

NPI assigned

May 28, 2006

Last updated

Dec 4, 2009By 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

Vickie E Moss

Title

Office Manager

Phone

(434) 791-1345

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1760439483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR",
            "address_2": "SUITE H",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414155",
            "telephone_number": "434-791-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR",
            "address_2": "SUITE H",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414155",
            "telephone_number": "434-791-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-791-1345"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C10394",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901421",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "006237",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piedmont Home Care (Alfreda Graves)
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• Piedmont Infusion Services, Inc
• Piedmont Infusion Services, Inc
• Piedmont Infusion Services, Inc
• Piedmont Labs, Inc
• Piedmont Medical Transport LLC
• Piedmont Ophthalmology Clinic, Inc (Dominion Eye Center)
• Piedmont Pain Medicine P.C.
• Piedmont Pain Medicine, PC

• Internal Medicine Physician in Danville, VA
• Providers in Danville, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.