Active NPI
Piedmont Healthcare, PA
- Durable Medical Equipment & Medical Supplies
- Mooresville, NC
National Provider Identifier
1962759787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 73352
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2102860 | Piedmont Healthcare, PA | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.