PIEDMONT ENDOSCOPY CENTER INC. NPI 1003858721

NPI Information

NPI: 1003858721
Provider Name: PIEDMONT ENDOSCOPY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Address: 1901 S HAWTHORNE RD
SUITE 308
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 760-4340

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NPI Details

PIEDMONT ENDOSCOPY CENTER, INC. is an ambulatory surgical clinic center in Winston-salem, NC. PIEDMONT ENDOSCOPY CENTER, INC. NPI is 1003858721. The provider is registered as an organization entity type.

The provider's business location address is:

1901 S HAWTHORNE RD
SUITE 308
WINSTON-SALEM, NC
ZIP 27103-921
Phone: (336) 760-4340
Fax: (336) 765-2869

The provider's authorized official is Michelle L Wallace .
The authorized official title is Assitant Administrator and has the following contact phone number (336) 714-3544.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/12/2012.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	AS0044	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2380290	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	3409863	MEDICAID	NORTH CAROLINA

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: 11/21/2025

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