PIEDMONT IMAGING LLC
NPI 1174797617
Radiology - Diagnostic Radiology in Winston Salem, NC

NPI Status: Active since April 16, 2008

Contact Information

185 KIMEL PARK DR
SUITE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 760-1880
Fax: (336) 760-1807

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 34D1012700
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-20-2026

About PIEDMONT IMAGING LLC

This page provides the complete NPI Profile along with additional information for Piedmont Imaging Llc, a provider established in Winston Salem, North Carolina operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1174797617 assigned on April 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Daniel J Schaefer (C.o.o.)

NPI
1174797617
Provider Name
PIEDMONT IMAGING LLC
Entity Type
Organization
Location Address
185 KIMEL PARK DR SUITE 100 WINSTON SALEM, NC 27103
Location Phone
(336) 760-1880
Location Fax
(336) 760-1807
Mailing Address
P.O. BOX 933393 ATLANTA, GA 31193
Mailing Phone
(336) 659-1211
Mailing Fax
(336) 760-1807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2008
Last Update Date
08-25-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DANIEL J SCHAEFER

Authorized Official Title
C.O.O.
Authorized Official Phone
(770) 300-0101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2316747MEDICARE PIN (08)NC 
CA6811OTHER (01)MEDICARE RAILROAD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1012700
Facility Type
Other
Certificate Effective Date
April 21, 2024
Certificate Expiration Date
April 20, 2026
Laboratory Director
BRIAN D. PEARCE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Piedmont Imaging Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174797617, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 9 + 1 + 4 + 6 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174797617.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dentist
185 KIMEL PARK DR, STE 202
WINSTON SALEM, NC 27103
Dentist (Pediatric Dentistry)
185 KIMEL PARK DR, SUITE 202
WINSTON-SALEM, NC 27103
Dentist (Pediatric Dentistry)
185 KIMEL PARK DR, SUITE 202
WINSTON SALEM, NC 27103
Orthopaedic Surgery (Sports Medicine)
185 KIMEL PARK DR, SUITE 201
WINSTON SALEM, NC 27103
Neurological Surgery
185 KIMEL PARK DR, STE 201
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
185 KIMEL PARK DR
WINSTON SALEM, NC 27103
Radiology (Diagnostic Radiology)
185 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174797617, enumerated as an "organization" on April 16, 2008.

The provider is located at 185 KIMEL PARK DR SUITE 100 WINSTON SALEM, NC 27103 and the phone number is (336) 760-1880.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.