# PIEDMONT ENDOCRINOLOGY, PA

> 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:** 1558459602
- **Authorized official:** MRS. KIM G STAINES (OFFICE MANAGER)
- **Authorized official phone:** (828) 322-7338

## Contact information

- **Practice address:** 311 9TH AVENUE DR NE, HICKORY, NC 28601-3829
- **Practice address phone:** (828) 322-7338
- **Practice address fax:** (828) 304-6319
- **Mailing address:** 311 9TH AVENUE DR NE, HICKORY, NC 28601-3829
- **Mailing address phone:** (828) 322-7338
- **Mailing address fax:** (828) 304-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NC | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 10/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0236H | BCBS OF NC | NC |
| 05 | — | 890236H | — | NC |