Healthcare Provider Details

I. General information

NPI: 1962461681
Provider Name (Legal Business Name): PIEDMONT HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD NW
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

1968 PEACHTREE RD NW PATIENT FINANCIAL SERVICES
ATLANTA GA
30309-1281
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-5000
  • Fax: 404-609-6699
Mailing address:
  • Phone: 404-605-5000
  • Fax: 404-609-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT C CROSS
Title or Position: VP, GOVERNMENT REIMBURSEMENT
Credential:
Phone: 470-271-3401