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PIEDMONT SENIOR CARE PLLC NPI 1770566846


NPI Information

NPI: 1770566846
Provider Name: PIEDMONT SENIOR CARE, PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 34D1008173

Address:
1309 N ELM STREET
GREENSBORO, NC
ZIP 27401
Phone: (336) 544-5400
Get Directions

PIEDMONT SENIOR CARE, PLLC is a geriatric medicine internal medicine in Greensboro, NC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PIEDMONT SENIOR CARE, PLLC NPI is 1770566846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1309 N ELM STREET
GREENSBORO, NC
ZIP 27401
Phone: (336) 544-5400
Fax: (336) 544-5401

The provider's authorized official is Amelita Samera Rodriguez .
The authorized official title is Hr/bm and has the following contact phone number (336) 544-5400.

The CLIA number assigned to this NPI record is 34D1008173 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/22/2005 and was last updated on 11/19/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineNORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1013NHOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
22327820MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
389013NHMEDICAIDNORTH 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: 4/28/2024

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