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PIEDMONT HEALTHCARE, PA
NPI 1629541917
Internal Medicine in Mooresville, NC

Active since January 09, 2019CLIA 34D0997806 · Waiver
128 MEDICAL PARK RD STE 101, MOORESVILLE, NC 28117(704) 658-1001(704) 658-1002 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Piedmont Healthcare, Pa NPPES

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

PIEDMONT HEALTHCARE, PA (NPI 1629541917) is a healthcare organization registered as an internal medicine in Mooresville, North Carolina and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Greg Guin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629541917
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePIEDMONT HEALTHCARE, PA
Location Address128 MEDICAL PARK RD STE 101Mooresville, NC 28117-8579
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Phone(704) 658-1001
Fax(704) 658-1002
Organization SubpartNo
Authorized OfficialGreg GuinCfo · (704) 873-4277
Enumeration DateJanuary 9, 2019
✔ NPI 1629541917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
128 MEDICAL PARK RD STE 101, 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 34D0997806

Piedmont Healthcare PA · Mooresville, NC
Active · expires Mar 27, 2028
CLIA Number34D0997806
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorManish G. Patel
Laboratory Phone(704) 658-1001
Laboratory LocationPiedmont Healthcare PA128 Medical Park Road, Suite 101, 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 3

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

BRITTANIA CORBITT NP
Nurse Practitioner
128 MEDICAL PARK RD STE 101
MOORESVILLE, NC 28117
Iredell County (704) 658-1001
JULIE WILLINGHAM ABNEY PA-C
Physician Assistant
128 MEDICAL PARK RD STE 101
MOORESVILLE, NC 28117
Iredell County (704) 658-1001
DIJANA TALIC CHRISTIANSON DO
Internal Medicine
128 MEDICAL PARK RD STE 101
MOORESVILLE, NC 28117
Iredell County (704) 658-1001

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 1629541917. It was assigned to this organization in the NPPES registry on January 9, 2019.

Where is Piedmont Healthcare, PA located?

Piedmont Healthcare, PA is located at 128 Medical Park Rd Ste 101, Mooresville, NC 28117. The listed phone number is (704) 658-1001.

What is Piedmont Healthcare, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Piedmont Healthcare, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0997806) is associated with this NPI, valid through March 27, 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 9, 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.