Organization Active NPI

Piedmont Family and Sports Medicine, PLLC

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1891736849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIEDMONT FAMILY AND SPORTS MEDICINE, PLLC
Practice address
1581 Yanceyville St
Greensboro, NC 27405-6933
Phone
(336) 275-6445
Fax
(336) 275-3012
NPI assigned
Jun 9, 2006
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
Diana Turner
Title
Practice Manager
Phone
(336) 275-6445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1581 Yanceyville St
Greensboro, NC 27405-6933

Mailing address

1581 Yanceyville St
Greensboro, NC 27405-6933
Phone (336) 275-6445

Other identifiers 1

IdentifierTypeStateIssuer
5901292MedicaidNC

National Provider Directory

National Provider Directory

Locations

301 E Wendover Ave
Ste 310
Greensboro, NC 27401
Phone (336) 275-4096

621 S Main St
Ste 100
Reidsville, NC 27320
Phone (336) 342-6880

Practitioners & affiliated clinicians

Practitioners 1

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891736849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 YANCEYVILLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056933",
            "telephone_number": "336-275-6445",
            "fax_number": "336-275-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 YANCEYVILLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056933",
            "telephone_number": "336-275-6445",
            "fax_number": "336-275-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-275-6445"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901292",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, 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.