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PIEDMONT HEALTHCARE, PA
NPI 1639649510
Family Medicine in Statesville, NC

Active since December 04, 2018CLIA 34D0247284 · Waiver
276 OLD MOCKSVILLE RD STE 400, STATESVILLE, NC 28625(704) 878-6592(704) 878-6594 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Piedmont Healthcare, Pa NPPES

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

PIEDMONT HEALTHCARE, PA (NPI 1639649510) is a healthcare organization registered as a family medicine in Statesville, North Carolina and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Greg Guin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639649510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIEDMONT HEALTHCARE, PA
Location Address276 OLD MOCKSVILLE RD STE 400Statesville, NC 28625-1950
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Phone(704) 878-6592
Fax(704) 878-6594
Organization SubpartNo
Authorized OfficialGreg GuinCfo · (704) 873-4277
Enumeration DateDecember 4, 2018
✔ NPI 1639649510 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.
276 OLD MOCKSVILLE RD STE 400, Statesville, NC 28625
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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 34D0247284

Piedmont Healthcare PA · Statesville, NC
Active · expires Feb 19, 2027
CLIA Number34D0247284
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorDhrupa S. Changela
Laboratory Phone(704) 878-6592
Laboratory LocationPiedmont Healthcare PA276 Old Mocksville Rd Ste 400, Statesville, NC 28625
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.

DR. DHRUPA S CHANGELA M.D.
Family Medicine
276 OLD MOCKSVILLE RD STE 400
STATESVILLE, NC 28625
Iredell County (704) 878-6592
CANDICE ELYSE BALL APRN
Nurse Practitioner (Family)
276 OLD MOCKSVILLE RD STE 400
STATESVILLE, NC 28625
Iredell County (704) 878-6592
KATHARINE SCHULTHEIS MALLORY FNP
Nurse Practitioner
276 OLD MOCKSVILLE RD STE 400
STATESVILLE, NC 28625
Iredell County (704) 878-6592

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 1639649510. It was assigned to this organization in the NPPES registry on December 4, 2018.

Where is Piedmont Healthcare, PA located?

Piedmont Healthcare, PA is located at 276 Old Mocksville Rd Ste 400, Statesville, NC 28625. The listed phone number is (704) 878-6592.

What is Piedmont Healthcare, PA's specialty?

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

Does Piedmont Healthcare, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0247284) is associated with this NPI, valid through February 19, 2027. 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 December 4, 2018. 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.