PIEDMONT HEALTHCARE, PA (NPI# 1790255677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790255677 |
| Entity Type | Organization |
| Organization Name | PIEDMONT HEALTHCARE, PA |
| Practice Address |
208 Old Mocksville Rd Statesville NC 28625-1953 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7048388237 |
| Practice Fax Number | 7049245358 |
| Mailing Telephone | 7048388237 |
| Mailing Fax Number | 7049783549 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | GREG GUIN (CFO) |
| Authorized Official Telephone | 7048734277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854303 | Piedmont Healthcare, Pa | Internal Medicine | 548 Williamson Rd Ste 6, Mooresville, NC 28117-9111 | 2019-01-07 |
| 1639649510 | Piedmont Healthcare, Pa | Family Medicine | 276 Old Mocksville Rd Ste 400, Statesville, NC 28625-1950 | 2018-12-04 |
| 1225548597 | Piedmont Healthcare, Pa | Internal Medicine | 276 Old Mocksville Rd Ste 105, Statesville, NC 28625-1950 | 2017-10-02 |
| 1457500530 | Piedmont Healthcare, Pa | Durable Medical Equipment & Medical Supplies | 359 Williamson Rd, Mooresville, NC 28117-5935 | 2008-09-15 |
| 1992278287 | Piedmont Healthcare, Pa | Pediatrics | 129 Sherlock Dr, Statesville, NC 28625-1916 | 2019-01-09 |
| 1801369194 | Piedmont Healthcare, Pa | Internal Medicine | 517 Brookdale Dr, Statesville, NC 28677-4107 | 2019-01-09 |
| 1710450002 | Piedmont Healthcare, Pa | Internal Medicine | 1669 Davie Ave, Statesville, NC 28677-3519 | 2019-01-09 |
| 1629541917 | Piedmont Healthcare, Pa | Internal Medicine | 128 Medical Park Rd Ste 101, Mooresville, NC 28117-8579 | 2019-01-09 |
| 1194298489 | Piedmont Healthcare, Pa | Family Medicine | 206 Joe V. Knox Avenue, Mooresville, NC 28117 | 2019-01-09 |
| 1003389396 | Piedmont Healthcare, Pa | Internal Medicine | 533 Brookdale Dr, Statesville, NC 28677-4107 | 2019-01-09 |
| Street Address |
208 OLD MOCKSVILLE RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381562 | Anita Misra | Internal Medicine | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2005-07-22 |
| 1134753569 | April Dawn Lockman | Nurse Practitioner | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2020-02-25 |
| 1821638842 | Emily Bryan Harris | Registered Nurse | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2020-01-07 |
| 1366912255 | Piedmont Healthcare, Pa | Family Medicine | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2018-12-04 |
| 1578032942 | Leah D Tamburlin | Registered Nurse | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2018-11-15 |
| 1336674423 | Christina Marie Bellina | Registered Nurse | 208 Old Mocksville Rd, Statesville, NC 28625 | 2017-04-26 |
| 1366892432 | Whitney Moose | Nurse Practitioner | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2016-06-20 |
| 1649665464 | Philip Adam Jones | Podiatrist | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2015-03-30 |
| 1356740120 | Kimberly A Stout | Nurse Practitioner | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2014-08-18 |
| 1548500085 | Kristin A Himes | Physician Assistant | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300822 | Carolinas Regenerative Medicine, Pllc | Family Medicine | 1661 Davie Ave, Statesville, NC 28677-3519 | 2020-03-09 |
| 1639649510 | Piedmont Healthcare, Pa | Family Medicine | 276 Old Mocksville Rd Ste 400, Statesville, NC 28625-1950 | 2018-12-04 |
| 1407114176 | Urgent Cares of America North Carolina Inc. | Family Medicine | 242 Turnersburg Hwy, Statesville, NC 28625-2797 | 2012-05-01 |
| 1639407737 | Statesville Hma Medical Group, LLC | Family Medicine | 1412 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-12-01 |
| 1629242490 | Samuel Ekro Inkumsah | Family Medicine | 555 Kitchings Dr Ste D, Statesville, NC 28677-3576 | 2008-04-14 |
| 1487840427 | Iredell Physician Network LLC | Family Medicine | 774 Hartness Rd, Statesville, NC 28677-3376 | 2007-09-24 |
| 1528164324 | Omodele Julie Masha | Family Medicine | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2006-09-16 |
| 1225134166 | Miller Family Practice PC | Family Medicine | 513 Brookdale Drive, Statesville, NC 28677 | 2006-09-16 |
| 1376645549 | Teresa Romzick | Family Medicine | 2341 Simonton Rd, Statesville, NC 28625-8246 | 2006-09-01 |
| 1124046198 | Life Enhancement Medical Services Pllc | Family Medicine | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2006-07-18 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on PIEDMONT HEALTHCARE, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.