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PIEDMONT HEALTHCARE, PA
NPI 1275006835
Pediatrics in Mooresville, NC

Active since January 07, 2019CLIA 34D2108994 · Waiver
128 MEDICAL PARK RD STE 200, MOORESVILLE, NC 28117(704) 696-2085 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Piedmont Healthcare, Pa NPPES

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

PIEDMONT HEALTHCARE, PA (NPI 1275006835) is a healthcare organization registered as a pediatrics in Mooresville, North Carolina and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Greg Guin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275006835
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePIEDMONT HEALTHCARE, PA
Location Address128 MEDICAL PARK RD STE 200Mooresville, NC 28117-8579
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Phone(704) 696-2085
Organization SubpartNo
Authorized OfficialGreg GuinCfo · (704) 873-4277
Enumeration DateJanuary 7, 2019
✔ NPI 1275006835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
128 MEDICAL PARK RD STE 200, 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 34D2108994

Piedmont Healthcare PA · Mooresville, NC
Active · expires Feb 16, 2028
CLIA Number34D2108994
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorSusan R. Benson
Laboratory Phone(704) 696-2085
Laboratory LocationPiedmont Healthcare PA128 Medical Park Road, Suite 200, 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 4

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

KRISTIN LEA RICE PNP
Nurse Practitioner (Pediatrics)
128 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (704) 696-2085
KAREN LEHE PNP
Nurse Practitioner (Pediatrics)
128 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (704) 696-2085
JESSICA LANE MILLER PNP
Nurse Practitioner (Pediatrics)
128 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (704) 696-2085
MRS. JULIA MURDOCH SELF
Nurse Practitioner (Pediatrics)
128 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (704) 696-2085

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 1275006835. It was assigned to this organization in the NPPES registry on January 7, 2019.

Where is Piedmont Healthcare, PA located?

Piedmont Healthcare, PA is located at 128 Medical Park Rd Ste 200, Mooresville, NC 28117. The listed phone number is (704) 696-2085.

What is Piedmont Healthcare, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Piedmont Healthcare, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2108994) is associated with this NPI, valid through February 16, 2028. 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 Healthcare, PA was last updated on January 7, 2019. 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.