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PIEDMONT HEALTHCARE, PA
NPI 1710450002
Internal Medicine in Statesville, NC

Active since January 09, 2019CLIA 34D0969016 · Waiver
1669 DAVIE AVE, STATESVILLE, NC 28677(704) 978-3571(704) 838-0706 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Piedmont Healthcare, Pa NPPES

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

PIEDMONT HEALTHCARE, PA (NPI 1710450002) is a healthcare organization registered as an internal medicine in Statesville, North Carolina and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Greg Guin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710450002
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePIEDMONT HEALTHCARE, PA
Location Address1669 DAVIE AVEStatesville, NC 28677-3519
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Phone(704) 978-3571
Fax(704) 838-0706
Organization SubpartNo
Authorized OfficialGreg GuinCfo · (704) 873-4277
Enumeration DateJanuary 9, 2019
✔ NPI 1710450002 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.
1669 DAVIE AVE, Statesville, NC 28677
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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 34D0969016

Piedmont Healthcare PA · Statesville, NC
Active · expires Sep 3, 2026
CLIA Number34D0969016
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorMahendra Narendran
Laboratory Phone(704) 978-3571
Laboratory LocationPiedmont Healthcare PA1669 Davie Ave, Statesville, NC 28677
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.

MAHENDRA NARENDRAN
Internal Medicine
1669 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 978-3571
DEBORAH KIMBERLY DAYWALT FNP
Nurse Practitioner (Family)
1669 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 978-3571
BRITTANY NICOLE GRIFFIN FNP
Nurse Practitioner (Family)
1669 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 978-3571
WALTER V MEADORS JR. M.D.
Obstetrics & Gynecology
1669 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 872-5201

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 1710450002. 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 1669 Davie Ave, Statesville, NC 28677. The listed phone number is (704) 978-3571.

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 34D0969016) is associated with this NPI, valid through September 3, 2026. 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 with the weekly NPPES data releases published by CMS.