Piedmont Providers Llc

LBN: Piedmont Providers Llc
Piedmont Providers Llc is an health care organization with primary practice located at 220 J L White Dr Ste 120 , Jasper GA 30143-4894. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Piedmont Providers Llc can be contacted via phone (770) 801-2500, or through Aquino, Christy via phone (470) 271-3427.

Contact Information

Primary practice address
220 J L White Dr Ste 120 Jasper GA 30143-4894
Phone: (770) 801-2500
Fax: (770) 803-2121
Website:
Map and Directions
Authorized official contact:
Name: Aquino, Christy
Phone: (470) 271-3427

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Georgia

Profile Details

NPI number 1548273592
LBN Legal business name Piedmont Providers Llc
DBA Doing business as
Authorized official Aquino, Christy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Oct 26th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548273592 NPPES
Georgia MEDICAID 306264909A
Georgia Other GRP3809
Georgia Other CH4995

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