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PIEDMONT HEALTHCARE, PA
NPI 1043780935
Family Medicine in Statesville, NC

Active since December 04, 2018CLIA Certified · 14 labs
705 GAITHER RD, STATESVILLE, NC 28625(704) 871-1155(704) 872-2484 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Piedmont Healthcare, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIEDMONT HEALTHCARE, PA (NPI 1043780935) is a healthcare organization registered as a family medicine in Statesville, North Carolina and active in the NPI registry since December 2018. The organization holds 14 active CLIA laboratory certificates and lists Greg Guin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043780935
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIEDMONT HEALTHCARE, PA
Location Address705 GAITHER RDStatesville, NC 28625-3450
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Phone(704) 871-1155
Fax(704) 872-2484
Organization SubpartNo
Authorized OfficialGreg GuinCfo · (704) 873-4277
Enumeration DateDecember 4, 2018
✔ NPI 1043780935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
705 GAITHER RD, Statesville, NC 28625
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 14

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0964033

Piedmont Healthcare PA · Statesville, NC
Active · expires Aug 17, 2027
CLIA Number34D0964033
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDaniel B. Bellingham
Laboratory Phone(704) 871-1155
Laboratory LocationPiedmont Healthcare PA705 Gaither Road PO Box 1845, Statesville, NC 28625
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 34D2146351

Piedmont Healthcare, PA · Mooresville, NC
Active · expires Mar 27, 2028
CLIA Number34D2146351
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorDr. Manish G. Patel
Laboratory Phone(704) 873-4277
Laboratory LocationPiedmont Healthcare, PA128 Medical Park Rd, Suite 102, Mooresville, NC 28117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2297613

Piedmont Healthcare, PA · Troutman, NC
Active · expires Jan 17, 2028
CLIA Number34D2297613
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorDwight N. Bellingham
Laboratory Phone(704) 871-1155
Laboratory LocationPiedmont Healthcare, PA118 Kirkman Ct, Troutman, NC 28166
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2296789

Piedmont Healthcare, PLLC · Statesville, NC
Active · expires Jan 4, 2028
CLIA Number34D2296789
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorJoseph E. Moran
Laboratory Phone(704) 873-4277
Laboratory LocationPiedmont Healthcare, PLLC640 Signal Hill Drive, Suite C, Statesville, NC 28625
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1054174

Piedmont Healthcare PA · Statesville, NC
Active · expires May 14, 2028
CLIA Number34D1054174
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorAmy E. Mclaurin
Laboratory Phone(704) 838-8256
Laboratory LocationPiedmont Healthcare PA142 Sherlock Drive, Statesville, NC 28625
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 34D1099681

Piedmont Healthcare Endoscopy Center · Statesville, NC
Active · expires Mar 12, 2028
CLIA Number34D1099681
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorNikhiel B. Rau
Laboratory Phone(704) 838-8429
Laboratory LocationPiedmont Healthcare Endoscopy Center208 Old Mocksville Road, Statesville, NC 28625
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMER ELIZABETH LACKEY PA
Physician Assistant
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
DANIEL DWIGHT BELLINGHAM M.D.
Family Medicine
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
DWIGHT NICOLAS BELLINGHAM MD
Family Medicine
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
COURTNEY LYNN HADDOCK FNP-C
Registered Nurse
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
HALEY NICOLE GOSNELL PA
Physician Assistant
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
KAREN ANNE AMIREHSANI FNP
Nurse Practitioner (Family)
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
STEPHANIE LEE TAYLOR PA
Physician Assistant
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155
KELSEY NOEL MCLELLAND
Physician Assistant
705 GAITHER RD
STATESVILLE, NC 28625
Iredell County (704) 871-1155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Piedmont Healthcare, PA's NPI number?

The NPI number for Piedmont Healthcare, PA is 1043780935. It was assigned to this organization in the NPPES registry on December 4, 2018.

Where is Piedmont Healthcare, PA located?

Piedmont Healthcare, PA is located at 705 Gaither Rd, Statesville, NC 28625. The listed phone number is (704) 871-1155.

What is Piedmont Healthcare, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Piedmont Healthcare, PA hold CLIA laboratory certificates?

Yes. 14 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Piedmont Healthcare, PA was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.