PIEDMONT ADULT AND PEDIATRIC MEDICINE ASSOC
NPI 1134462633
Non-Pharmacy Dispensing Site in Gastonia, NC

Active since April 03, 2013CLIA 34D0988986 · Waiver
640 SUMMIT CROSSING PL, SUITE 204, GASTONIA, NC 28054(704) 865-0626 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Piedmont Adult And Pediatric Medicine Assoc NPPES

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

PIEDMONT ADULT AND PEDIATRIC MEDICINE ASSOC (NPI 1134462633) is a healthcare organization registered as a non-pharmacy dispensing site in Gastonia, North Carolina and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1134462633
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES, PA
Location Address640 SUMMIT CROSSING PL, SUITE 204Gastonia, NC 28054-2138
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 3, 2013
NPI 1134462633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in NC · 9500419
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

640 SUMMIT CROSSING PL, Gastonia, NC 28054

Other Names 1

Doing Business AsPiedmont Adult And Pediatric Medicine Assoc

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 34D0988986

Piedmont Adult And Peds Med Assocs PA · Gastonia, NC
Active · expires Nov 2, 2026
CLIA Number34D0988986
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorYaw Owusu Addo
Laboratory Phone(704) 865-0626
Laboratory LocationPiedmont Adult And Peds Med Assocs PA640 Summit Crossing Ste 204, Gastonia, NC 28054
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
640 SUMMIT CROSSING PL, SUITE 200
GASTONIA, NC 28054
Anesthesiology (Pain Medicine)
640 SUMMIT CROSSING PL
GASTONIA, NC 28054
Optometrist
640 SUMMIT CROSSING PL, SUITE 202
GASTONIA, NC 28054
Occupational Therapist
640 SUMMIT CROSSING PL
GASTONIA, NC 28054
Dermatology
640 SUMMIT CROSSING PL, SUITE 204
GASTONIA, NC 28054
Clinic/Center
640 SUMMIT CROSSING PL
GASTONIA, NC 28054
Internal Medicine
640 SUMMIT CROSSING PL, STE 204
GASTONIA, NC 28054
Internal Medicine
640 SUMMIT CROSSING PL, STE 204
GASTONIA, NC 28054

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 Adult & Pediatric Medicine Associates, PA's NPI number?

The NPI number for Piedmont Adult & Pediatric Medicine Associates, PA is 1134462633. It was assigned to this organization in the NPPES registry on April 3, 2013. The provider is doing business as Piedmont Adult And Pediatric Medicine Assoc.

Where is Piedmont Adult & Pediatric Medicine Associates, PA located?

Piedmont Adult & Pediatric Medicine Associates, PA is located at 640 Summit Crossing Pl Suite 204, Gastonia, NC 28054. The listed phone number is (704) 865-0626.

What is Piedmont Adult & Pediatric Medicine Associates, PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Piedmont Adult & Pediatric Medicine Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0988986) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Piedmont Adult & Pediatric Medicine Associates, PA was last updated on April 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.