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PIEDMONT CAROLINA VASCULAR SURGERY, LLC
NPI 1790029015
Surgery - Vascular Surgery in Rock Hill, SC

Active since November 27, 2012
1721 EBENEZER RD, SUITE 115, ROCK HILL, SC 29732(803) 985-4000(803) 985-4006 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Piedmont Carolina Vascular Surgery, Llc NPPES

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

PIEDMONT CAROLINA VASCULAR SURGERY, LLC (NPI 1790029015) is a healthcare organization registered as a vascular surgery in Rock Hill, South Carolina and active in the NPI registry since November 2012. The organization lists Michael K Burtnett, Vp Of Outpatient Services, Tenet, as its authorized official.

NPPES Registry Identity

NPI1790029015
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePIEDMONT CAROLINA VASCULAR SURGERY, LLC
Location Address1721 EBENEZER RD, SUITE 115Rock Hill, SC 29732-4103
Mailing Address1721 Ebenezer Rd, Suite 115Rock Hill, SC 29732-4103 · (803) 985-4000 · Fax (803) 985-4006
Phone(803) 985-4000
Fax(803) 985-4006
Organization SubpartNo
Authorized OfficialMichael K BurtnettVp Of Outpatient Services, Tenet · (469) 893-2902
Enumeration DateNovember 27, 2012
Last NPPES UpdateJune 16, 2016
✔ NPI 1790029015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1721 EBENEZER RD, Rock Hill, SC 29732
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Other Identifiers 1

Medicare PINC177

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

Other Providers at the Same Location NPPES 20

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

CHRISTINA ZIMMERMAN, LMFT, LLC
Marriage & Family Therapist
1721 EBENEZER RD, SUITE 215
ROCK HILL, SC 29732
York County (803) 366-7404
DR. TARUNENDU SHEKHAR DWIVEDI M.D.
Psychiatry & Neurology (Psychiatry)
1721 EBENEZER RD, SUITE 265
ROCK HILL, SC 29732
York County (803) 329-7778
STOVER SUPPORT SERVICES LLC
Social Worker (Clinical)
1721 EBENEZER RD, SUITE 265
ROCK HILL, SC 29732
York County (803) 329-7778
DR. KRYSTAL MYERS TEAGUE D.M.D.
Dentist (General Practice)
1721 EBENEZER RD, SUITE 135
ROCK HILL, SC 29732
York County (803) 324-7670
MISS COURTNEY MACKEY MSP, CCC-CFY
Speech-Language Pathologist
1721 EBENEZER RD, SUITE 225
ROCK HILL, SC 29732
York County (803) 329-1520
MRS. CHRISTINA M ZIMMERMAN LMFT
Marriage & Family Therapist
1721 EBENEZER RD, SUITE 215
ROCK HILL, SC 29732
York County (803) 487-3065
MS. LISA DUKE CARY LPC, CEAP, CRC, CRP
Counselor (Professional)
1721 EBENEZER RD, SUITE 225
ROCK HILL, SC 29732
York County (803) 329-9639
MONICA REVELS COUNSELING LLC
Counselor (Professional)
1721 EBENEZER RD, SUITE 265
ROCK HILL, SC 29732
York County (803) 329-7778

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 Carolina Vascular Surgery, LLC's NPI number?

The NPI number for Piedmont Carolina Vascular Surgery, LLC is 1790029015. It was assigned to this organization in the NPPES registry on November 27, 2012.

Where is Piedmont Carolina Vascular Surgery, LLC located?

Piedmont Carolina Vascular Surgery, LLC is located at 1721 Ebenezer Rd Suite 115, Rock Hill, SC 29732. The listed phone number is (803) 985-4000.

What is Piedmont Carolina Vascular Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Piedmont Carolina Vascular Surgery, LLC was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.