PIEDMONT HEALTHCARE, PA
NPI 1790255677
Family Medicine in Statesville, NC

NPI Status: Active since December 04, 2018

Contact Information

208 OLD MOCKSVILLE RD
STATESVILLE, NC
ZIP 28625
Phone: (704) 838-8237
Fax: (704) 924-5358

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  • Organization
  • Family Medicine
  • CLIA Number: 34D1054174
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-14-2026

About PIEDMONT HEALTHCARE, PA

This page provides the complete NPI Profile along with additional information for Piedmont Healthcare, Pa, a primary care provider established in Statesville, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1790255677 assigned on December 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Piedmont Healthcare, Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Greg Guin (Cfo)

NPI
1790255677
Provider Name
PIEDMONT HEALTHCARE, PA
Entity Type
Organization
Location Address
208 OLD MOCKSVILLE RD STATESVILLE, NC 28625
Location Phone
(704) 838-8237
Location Fax
(704) 924-5358
Mailing Address
PO BOX 1845 STATESVILLE, NC 28687
Mailing Phone
(704) 838-8237
Mailing Fax
(704) 924-5358
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2018
Last Update Date
12-04-2018
Code Navigator

A primary care provider (PCP) like Piedmont Healthcare, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREG GUIN

Authorized Official Title
CFO
Authorized Official Phone
(704) 873-4277

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1054174
Facility Type
Physician Office
Certificate Effective Date
May 15, 2024
Certificate Expiration Date
May 14, 2026
Laboratory Director
AMY E. MCLAURIN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Piedmont Healthcare, Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790255677
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271804510614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 4 + 5 + 1 + 0 + 6 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1790255677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750381562 ANITA MISRA M.D.
Individual
Internal Medicine208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8249
1477545911 BRUCE C HARRIS M.D.
Individual
Surgery208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8220
1356333876 HARLAN M HICKS M.D.
Individual
Internal Medicine208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8238
1013909571 EDWIN M. FULGHUM M.D.
Individual
Obstetrics & Gynecology208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8230
1093707515 NEIL M KASSMAN M.D.
Individual
Internal Medicine (Gastroenterology)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8215
1063490019 STANLEY F SLIWINSKI JR. MD
Individual
Ophthalmology208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8235
1376570564 LISA KEY MATHIS NP
Individual
Nurse Practitioner208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8240
1356362404 JEAN MARIE LARAMORE ELLIS PA-C
Individual
Physician Assistant208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8210
1326193558MR. JOSHUA A EUDY C.PED.
Individual
Pedorthist208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 872-7060
1669527883 JOSEPH MICHAEL EUDY C.PED.
Individual
Pedorthist208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 872-7060
1861683633PIEDMONT HEALTHCARE, PA
Organization
Radiology (Diagnostic Ultrasound)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8205
1437472297 MELISSA G DEAL ANP-BC
Individual
Nurse Practitioner (Adult Health)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8215
1316926363 GARY T ROBINSON MD
Individual
Surgery208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8220
1548500085 KRISTIN A HIMES PA-C
Individual
Physician Assistant208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8240
1285816157 ENRIQUE JOSE ORDAZ VERNET M.D
Individual
Internal Medicine (Pulmonary Disease)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8240
1841553815DR. TARA LYNN FRANKHOUSER DO
Individual
Family Medicine208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8237
1356740120 KIMBERLY A STOUT FNP
Individual
Nurse Practitioner (Family)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 838-8249
1649665464DR. PHILIP ADAM JONES DPM
Individual
Podiatrist (Foot & Ankle Surgery)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 662-8336
1780646406 ANGELA HOLT BLACKBURN NP
Individual
Nurse Practitioner (Family)208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 878-2021
1659350502 PAUL E SWANEY MD
Individual
Surgery208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
(704) 873-4277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790255677, enumerated in the NPI registry as an "organization" on December 04, 2018

The provider is located at 208 Old Mocksville Rd Statesville, Nc 28625 and the phone number is (704) 838-8237

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 34D1054174 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on December 04, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.