| Piedmont Adult & Pediatric Medicine Associates Pa | |
|
640 Summit Crossing Pl Ste 204 Gastonia NC 28054-2142 | |
| (704) 865-0626 | |
| (704) 865-6531 |
| Full Name | Piedmont Adult & Pediatric Medicine Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Summit Crossing Pl, Gastonia, North Carolina |
| Authorized Official Name and Position | Amy Dellinger (OFFICE MANAGER) |
| Authorized Official Contact | 7048650626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Adult & Pediatric Medicine Associates Pa 640 Summit Crossing Pl Ste 204 Gastonia NC 28054-2142 Ph: (704) 865-0626 | Piedmont Adult & Pediatric Medicine Associates Pa 640 Summit Crossing Pl Ste 204 Gastonia NC 28054-2142 Ph: (704) 865-0626 |
| NPI Number | 1851362503 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 4284826033 |
|---|---|
| Medicare Enrollment ID | O20101012000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851362503 | NPI | - | NPPES |
| 89012MG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Teresa I Mcswain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881672491 PECOS PAC ID: 9931004538 Enrollment ID: I20031205000582 |
| Provider Name | Yaw A Owusu-addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558332833 PECOS PAC ID: 2062517006 Enrollment ID: I20070419000188 |
| Provider Name | John L Scheitler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093786360 PECOS PAC ID: 1951593706 Enrollment ID: I20101012000602 |
| Provider Name | Johnathan D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245201557 PECOS PAC ID: 1658424742 Enrollment ID: I20101012000884 |
| Provider Name | Jordan A Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134699267 PECOS PAC ID: 6507105780 Enrollment ID: I20190306000612 |
| Provider Name | Patience Karikari Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992453138 PECOS PAC ID: 0042699274 Enrollment ID: I20220618000338 |
| Provider Name | Cierra Danielle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578130738 PECOS PAC ID: 0244695310 Enrollment ID: I20230424002358 |
| Provider Name | Susan Stansell Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740966910 PECOS PAC ID: 7911356308 Enrollment ID: I20231211001855 |
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