Piedmont Clinic, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

200201343 Issued in NC

Legal business name

PIEDMONT CLINIC, PLLC

Practice address

2050 Griffith Rd
Winston Salem, NC 27103-5509

Phone

(336) 293-4510

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Calles-Escandon, M.D.

Title

Medical Director

Phone

(336) 293-4510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carlos Fernando Burgoa-Rio, PA-C

  • Medical Physician Assistant
  • Winston Salem, NC
  • NPI 1740500495
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1831427871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 GRIFFITH RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035509",
            "telephone_number": "336-293-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 GRIFFITH RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035509",
            "telephone_number": "336-293-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "CALLES-ESCANDON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-293-4510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "200201343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Scott Pickett, DO
• Charis Pickett
• Stephanie Pickett, ANP-C
• Mhorys Kenneth Pickmans, M.D.
• Piedmont Behavioral Counseling Center
• Piedmont Community Physicians PC
• Piedmont Community Physicians PC
• Piedmont Community Physicians PC
• Piedmont Cosmetic Surgery and Dermatology Center, PA
• Piedmont Dialysis Center of Wake Forest University

• Medical Specialty Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.