Organization Active NPI

Piedmont Healthcare, PA

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
National Provider Identifier
1962759787
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
73352 Issued in NC
Legal business name
PIEDMONT HEALTHCARE, PA
Practice address
124 Professional Park Dr
Suite a
Mooresville, NC 28117-5609
Phone
(704) 662-3077
Fax
(704) 978-3549
NPI assigned
Aug 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Gregory S Guin
Title
Cfo
Phone
(704) 873-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 73352 NC Primary

Addresses

Primary practice location

124 Professional Park Dr
Suite a
Mooresville, NC 28117-5609

Mailing address

124 Professional Park Dr
Suite a
Mooresville, NC 28117-5609
Phone (704) 662-3077

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
34D2102860Piedmont Healthcare, PA124 Professional Park Drive, Suite a, Mooresville, NC 28117Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

124 Professional Park Dr
Ste A
Mooresville, NC 28117
Phone (704) 622-3077

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1962759787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PROFESSIONAL PARK DR",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175609",
            "telephone_number": "704-662-3077",
            "fax_number": "704-978-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PROFESSIONAL PARK DR",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175609",
            "telephone_number": "704-662-3077",
            "fax_number": "704-978-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "GUIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-873-4277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "73352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.