# PIEDMONT MEDICAL CARE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285929018
- **Authorized official:** CHRISTY AQUINO (DIRECTOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (470) 895-0214

## Contact information

- **Practice address:** 1314 CONCORD RD SE, SMYRNA, GA 30080-4361
- **Practice address phone:** (770) 333-8889
- **Mailing address:** PO BOX 102321, ATLANTA, GA 30368-4361
- **Mailing address phone:** (770) 801-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | RN130109 | GA | — |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 04/11/2023