NPIMap

Organization Active NPI

Piedmont Health Services, Inc.

Doing business as Sanford Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sanford, NC
National Provider Identifier
1851115745
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PIEDMONT HEALTH SERVICES, INC.
Doing business as
Sanford Community Health Center
Practice address
1301 Central Dr Ste B
Sanford, NC 27330-4159
Phone
(919) 545-5404
Fax
(984) 528-5003
NPI assigned
Nov 8, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Daniella Jaimes-Colina
Title
Ceo
Phone
(984) 358-4691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1301 Central Dr Ste B
Sanford, NC 27330-4159

Mailing address

88 Vilcom Center Dr Ste 110
Chapel Hill, NC 27514-1660
Phone (919) 933-8494

Other names 1

  • Sanford Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828000640 NC Part A Provider - Federally Qualified Health Center (FQHC) 3476462102 Practice locations: Sanford, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851115745. Details of each certification follow.

Federally qualified health center certification: CCN B61069

Legal name
PIEDMONT HEALTH SERVICES INC
Doing business as
SANFORD COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 15, 2025
Last certification
Jul 15, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1301 Central Dr
Ste B
Sanford, NC 27330-4159

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2317044Piedmont Health Services1301 Central Drive Suite 1301-B, Sanford, NC 27330Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Piedont Health Services33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Piedmont Health Services Inc Organization, Sanford, NC Corporation, Non-profit Operational/Managerial Control Jul 9, 2025
Daniella Jaimes-Colina Individual W-2 Managing EmployeeCeo Jan 15, 2024
Victoria Freeman Individual OtherBoard Member Sep 1, 2011

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burlington Community Health CenterBurlington, NC, CCN 341957 Federally qualified health center Operational/Managerial Control Dec 10, 2010
Sylvan Community Health CenterSnow Camp, NC, CCN 341986 Federally qualified health center Operational/Managerial Control Aug 1, 2012
Chapel Hill Community Health CenterChapel Hill, NC, CCN 341038 Federally qualified health center Operational/Managerial Control Aug 7, 2025
Chapel Hill Community Health CenterChapel Hill, NC, CCN B61068 Federally qualified health center Operational/Managerial Control Jul 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1851115745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 VILCOM CENTER DR STE 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141660",
            "telephone_number": "919-933-8494",
            "fax_number": "919-933-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTRAL DR STE B",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304159",
            "telephone_number": "919-545-5404",
            "fax_number": "984-528-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "JAIMES-COLINA",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-358-4691"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.