Provider Demographics
NPI:1619202702
Name:PIEDMONT MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PIEDMONT MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-602-1668
Mailing Address - Street 1:2255 LEWISVILLE CLEMMONS RD STE F
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-7460
Mailing Address - Country:US
Mailing Address - Phone:336-602-1668
Mailing Address - Fax:866-211-2286
Practice Address - Street 1:2255 LEWISVILLE CLEMMONS RD STE F
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-7460
Practice Address - Country:US
Practice Address - Phone:336-602-1668
Practice Address - Fax:866-211-2286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Z00000X
NC01563332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705202Medicaid
NC01563OtherNC BOARD OF PHARMACY DME PERMIT NUMBER
NC01563OtherNC BOARD OF PHARMACY DME PERMIT NUMBER