PIEDMONT HEALTHCARE, PA (NPI# 1841783735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841783735 |
| Entity Type | Organization |
| Organization Name | PIEDMONT HEALTHCARE, PA |
| Practice Address |
633 Brookdale Dr Ste 100 Statesville NC 28677-3471 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7049781144 |
| Practice Fax Number | 7049781148 |
| Mailing Telephone | 7049781144 |
| Mailing Fax Number | 7049781148 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
73352 | NC | 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 |
633 BROOKDALE DR STE 100 |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434862 | Ray I Georgeson | Internal Medicine | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2005-08-19 |
| 1346882305 | Celeste Stevens | Registered Nurse | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2019-10-11 |
| 1124679402 | Landry Schofield | Nurse Practitioner | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2019-09-26 |
| 1699181651 | Kera Cosper Mondez | Nurse Practitioner | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2014-07-10 |
| 1508137977 | Jips John Zachariah | Internal Medicine | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2012-01-18 |
| 1285926741 | Denise Groh Criss | Physician Assistant | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2011-05-03 |
| 1356304471 | Janice M. Clayton | Nurse Practitioner | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2006-04-10 |
| 1790744225 | Gary Kenneth Deweese | Internal Medicine | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2006-03-22 |
| 1477548345 | Duncan A Mccall | Internal Medicine | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124339890 | Vivek M Trivedi | Internal Medicine | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2010-06-28 |
| 1992796320 | Joseph A Petrozza | Internal Medicine | 740 Bryant St, Statesville, NC 28677-4143 | 2005-11-03 |
| 1326503806 | Piedmont Healthcare Pa | Internal Medicine | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2019-02-08 |
| 1124384888 | Brandon Marion | Internal Medicine | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2012-04-06 |
| 1326319278 | Nikhiel Bhasker Rau | Internal Medicine | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2012-01-24 |
| 1902898562 | Carl A Foulks Jr. | Internal Medicine | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2005-08-19 |
| 1093707515 | Neil M Kassman | Internal Medicine | 208 Old Mocksville Rd, Statesville, NC 28625-1930 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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| 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.