PIEDMONT PEDIATRICS LLC NPI 1083652630

NPI Information

NPI: 1083652630
Provider Name: PIEDMONT PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
:
Address: 996 MEDICAL RIDGE ROAD
CLINTON, SC
ZIP 29325
Phone: (864) 833-5654

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NPI Details

PIEDMONT PEDIATRICS LLC is a pediatrics in Clinton, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PIEDMONT PEDIATRICS LLC NPI is 1083652630. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

996 MEDICAL RIDGE ROAD
CLINTON, SC
ZIP 29325
Phone: (864) 833-5654
Fax: (864) 833-2786

The provider's authorized official is Karen Nolen .
The authorized official title is Office Manager and has the following contact phone number (864) 833-5654.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/14/2025.

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	261QR1300X	Clinic/Center	Rural Health			No
2	208000000X	Pediatrics				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	GP1856	MEDICAID	SOUTH CAROLINA
2	RHC152	MEDICAID	SOUTH 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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