SALLY RAY MILLER PIDGE NPI 1154408607

NPI Information

NPI: 1154408607
Provider Name: SALLY RAY MILLER PIDGE
Classification: Specialist - 174400000X
Entity Type: Organization
Doing Business As: SALLY PIDGE DBA ACHIEVE
Address: 2301 CROWN POINT EXECUTIVE DR
SUITE E
CHARLOTTE, NC
ZIP 28227
Phone: (704) 708-8314

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NPI Details

SALLY RAY MILLER PIDGE is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SALLY RAY MILLER PIDGE NPI is 1154408607. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sally Pidge Dba Achieve.

The provider's business location address is:

2301 CROWN POINT EXECUTIVE DR
SUITE E
CHARLOTTE, NC
ZIP 28227-725
Phone: (704) 708-8314
Fax: (704) 708-8315

The provider's authorized official is Sally Ray Pidge .
The authorized official title is Owner Therapist and has the following contact phone number (704) 708-8314.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/11/2012.

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	235Z00000X	Speech-Language Pathologist		2583	NORTH CAROLINA	No
2	174400000X	Specialist		4234	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	7411122	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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