PIEDMONT FAMILY PRACTICE AT ROCK HILL, LLC - NPI 1306004221

Q: What is Piedmont Family Practice At Rock Hill, LLC's specialty?

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

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About Piedmont Family Practice At Rock Hill, Llc NPPES

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

PIEDMONT FAMILY PRACTICE AT ROCK HILL, LLC (NPI 1306004221) is a healthcare organization registered as a family medicine in Rock Hill, South Carolina and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Wesley O. James, Regional Cfo, Tenet, as its authorized official.

NPPES Registry Identity

NPI1306004221

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePIEDMONT FAMILY PRACTICE AT ROCK HILL, LLC

Location Address2633 CELANESE RDRock Hill, SC 29732-1205

Mailing Address2633 Celanese RdRock Hill, SC 29732-1205 · (803) 325-1770 · Fax (803) 325-1790

Phone(803) 325-1770

Fax(803) 325-1790

Organization SubpartNo

Authorized OfficialWesley O. JamesRegional Cfo, Tenet · (404) 265-5009

Enumeration DateMay 28, 2008

Last NPPES UpdateJune 23, 2016

✔ NPI 1306004221 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.

2633 CELANESE RD, Rock Hill, SC 29732

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Other Identifiers 3

Medicare PINDO9003

MedicaidGP4897SC

Medicare PIN9106SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 42D1089197

Piedmont Family Practice At Rock Hill · Rock Hill, SC

Active · expires Jul 31, 2027

CLIA Number42D1089197

Laboratory TypePhysician Office

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorEric Johnson

Laboratory Phone(803) 325-1770

Laboratory LocationPiedmont Family Practice At Rock Hill2633 Celanese Road, Rock Hill, SC 29732

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 5

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

GEORGE TALBERT BARRON M.D.

Family Medicine