Piedmont Medical Care Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT MEDICAL CARE CORPORATION

Practice address

4000 Shakerag HL
Suite 301
Peachtree City, GA 30269-4047

Phone

(770) 486-7192

Fax

(770) 486-7110

NPI assigned

Jul 29, 2010

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Aquino

Title

Director, Provider Enrollment

Phone

(470) 895-0214

Specialties & licenses 7

Addresses

Tax ID family

Peidmont Medical Care F3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Piedmont Medical Care Corporation

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1033276407
  NPD tax ID
• Piedmont Medical Care Corporation

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1285929018
  NPD tax ID

Locations

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1912211129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102321",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL",
            "address_2": "SUITE 301",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "770-486-7192",
            "fax_number": "770-486-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT MEDICAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "470-895-0214"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN115077",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Place LLC
• Stacey Phillips
• Emson Philogene
• Lu Phoun
• Physiotherapy Associates Inc (Physio-Peachtree City)
• Ashley Renee Pilato, M.S., BCBA
• Betty A Pittman, LPC NCC
• Christopher Allen Pitts, PA-C
• Carolyn R Podolski, OTR/L
• Marilyn T Poff, LCSW

• Family Medicine Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.