PIEDMONT HEALTHCARE, PA
NPI 1205306180
Family Medicine in Mooresville, NC

Q: What is Piedmont Healthcare, PA's NPI number?

The NPI number for Piedmont Healthcare, PA is 1205306180. It was assigned to this organization in the NPPES registry on December 4, 2018.

Q: What is Piedmont Healthcare, PA's specialty?

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

Active since December 04, 2018CLIA 34D0962153 · Waiver

357 WILLIAMSON RD, MOORESVILLE, NC 28117(704) 664-7328(704) 664-7783 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Piedmont Healthcare, Pa NPPES

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

PIEDMONT HEALTHCARE, PA (NPI 1205306180) is a healthcare organization registered as a family medicine in Mooresville, North Carolina and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Greg Guin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205306180

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePIEDMONT HEALTHCARE, PA

Location Address357 WILLIAMSON RDMooresville, NC 28117-5935

Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277 · Fax (704) 978-3549

Phone(704) 664-7328

Fax(704) 664-7783

Organization SubpartNo

Authorized OfficialGreg GuinCfo · (704) 873-4277

Enumeration DateDecember 4, 2018

✔ NPI 1205306180 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.

357 WILLIAMSON RD, Mooresville, NC 28117

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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

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 34D0962153

Piedmont Healthcare PA Dba Lake Norman · Mooresville, NC

Active · expires Dec 31, 2027

CLIA Number34D0962153

Laboratory TypePhysician Office

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorTimothy A. Barker

Laboratory Phone(704) 664-7328

Laboratory LocationPiedmont Healthcare PA Dba Lake Norman357 Williamson Road, Mooresville, NC 28117

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

KYLE JAMES BABINSKI DO

Family Medicine