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PIEDMONT MEDICAL CARE CORPORATION NPI 1912211129


NPI Information

NPI: 1912211129
Provider Name: PIEDMONT MEDICAL CARE CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0906114

Address:
4000 SHAKERAG HL
SUITE 301
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 486-7192
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PIEDMONT MEDICAL CARE CORPORATION is a family medicine in Peachtree City, GA. The provider is 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. PIEDMONT MEDICAL CARE CORPORATION NPI is 1912211129. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4000 SHAKERAG HL
SUITE 301
PEACHTREE CITY, GA
ZIP 30269-047
Phone: (770) 486-7192
Fax: (770) 486-7110

The provider's authorized official is Christy Aquino .
The authorized official title is Director, Provider Enrollment and has the following contact phone number (470) 895-0214.

The CLIA number assigned to this NPI record is 11D0906114 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 4/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5363L00000XNurse PractitionerRN115077GEORGIANo
6363L00000XNurse PractitionerNo
7207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.