Healthcare Provider Details

I. General information

NPI: 1245163161
Provider Name (Legal Business Name): PIEDMONT HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 NEW HOPE CHURCH RD
CHAPEL HILL NC
27514-9566
US

IV. Provider business mailing address

88 VILCOM CENTER DR STE 110
CHAPEL HILL NC
27514-1660
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-9696
  • Fax:
Mailing address:
  • Phone: 407-369-0189
  • Fax: 919-933-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DANIELLA JAIMES-COLINA
Title or Position: CEO
Credential:
Phone: 407-369-0189