NPIMap

Organization Active NPI

Piedmont Premium Care,LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1992467674
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PIEDMONT PREMIUM CARE,LLC
Practice address
500 W 4TH St Ste 201F
Winston Salem, NC 27101-2782
Phone
(336) 997-4089
Fax
(336) 293-4800
NPI assigned
Oct 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Cynthia Renee Simmons
Title
Owner
Phone
(336) 997-4089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 W 4TH St Ste 201F
Winston Salem, NC 27101-2782

Mailing address

500 W 4TH St Ste 201F
Winston Salem, NC 27101-2782
Phone (336) 997-4089

Other names 1

  • Piedmont Premium Community Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Premium Carellc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1992467674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST STE 201F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012782",
            "telephone_number": "336-997-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST STE 201F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012782",
            "telephone_number": "336-997-4089",
            "fax_number": "336-293-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PREMIUM CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-997-4089"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Premium Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.