Organization Active NPI

Piedmont Medical Associates

  • Internal Medicine Physician
  • Union, SC
National Provider Identifier
1760550792
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PIEDMONT MEDICAL ASSOCIATES
Practice address
408 N Duncan Byp
Suite L
Union, SC 29379-8663
Phone
(864) 427-2401
Fax
(864) 427-7119
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Pam Vaughan
Title
Office Manager
Phone
(864) 427-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

408 N Duncan Byp
Suite L
Union, SC 29379-8663

Mailing address

408 N Duncan Byp
Suite L
Union, SC 29379-8663
Phone (864) 427-2401

Other identifiers 1

IdentifierTypeStateIssuer
GP2639MedicaidSC

National Provider Directory

National Provider Directory

Locations

408 N Duncan Byp
Ste L
Union, SC 29379
Phone (864) 427-2401

Practitioners & affiliated clinicians

Practitioners 3

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1760550792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N DUNCAN BYP",
            "address_2": "SUITE L",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798663",
            "telephone_number": "864-427-2401",
            "fax_number": "864-427-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N DUNCAN BYP",
            "address_2": "SUITE L",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798663",
            "telephone_number": "864-427-2401",
            "fax_number": "864-427-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-427-2401"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2639",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.