Organization Active NPI

Piedmont Pediatric Center

  • Pediatrics Physician
  • Lincolnton, NC
National Provider Identifier
1821000779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
120570 Issued in NC
Legal business name
PIEDMONT PEDIATRIC CENTER
Practice address
1446 E Gaston St
Suite # 101
Lincolnton, NC 28092-4416
Phone
(704) 736-0028
Fax
(704) 736-0096
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ghulam Hussain, MD
Title
President
Phone
(704) 736-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 120570 NC Primary

Addresses

Primary practice location

1446 E Gaston St
Suite # 101
Lincolnton, NC 28092-4416

Mailing address

1446 E Gaston St
Suite # 101
Lincolnton, NC 28092-4416
Phone (704) 736-0028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821000779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 E GASTON ST",
            "address_2": "SUITE # 101",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924416",
            "telephone_number": "704-736-0028",
            "fax_number": "704-736-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 E GASTON ST",
            "address_2": "SUITE # 101",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924416",
            "telephone_number": "704-736-0028",
            "fax_number": "704-736-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-736-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "120570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.