PIEDMONT UROLOGY PLLC NPI 1104006311

NPI Information

  • NPI: 1104006311
  • Provider Name: PIEDMONT UROLOGY, PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1915 W PARK DR
    SUITE 101
    NORTH WILKESBORO, NC
    ZIP 28659
  • Phone: (336) 838-5655

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NPI Details

PIEDMONT UROLOGY, PLLC is an urology in North Wilkesboro, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PIEDMONT UROLOGY, PLLC NPI is 1104006311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1915 W PARK DR
SUITE 101
NORTH WILKESBORO, NC
ZIP 28659-511
Phone: (336) 838-5655
Fax: (336) 838-7556

The provider's authorized official is Janaka A Hettiarachchi .
The authorized official title is Ower and has the following contact phone number (336) 838-5655.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/6/2007.

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
1208800000XUrologyNORTH CAROLINAYes

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
12334411MEDICARE PINNORTH 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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