Piedmont Healthcare, PA
Internal Medicine in Statesville, NC. Organization (NPI-2).
NPI number1003389396
StatusActive
Last updated in NPPESJan 9, 2019
Details
- NPI
- 1003389396
- Entity type
- Organization (NPI-2)
- Legal business name
- Piedmont Healthcare, PA
- Organization subpart
- No
- Enumeration date
- Jan 9, 2019
- Last updated
- Jan 9, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
533 Brookdale DrStatesville, NC 28677-4107
Phone 704-838-8249 · Fax 704-495-3057
Mailing address
Po Box 1845Statesville, NC 28687-1845
Phone 704-873-4277
Authorized official
Greg Guin
Cfo
7048734277
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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