Piedmont Professional Services, LLC
NPI 1104088905 · Nephrology Physician · Stockbridge, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Piedmont Professional Services, LLC is a Nephrology Physician organization in Stockbridge, GA (NPI 1104088905).
Provider details
- NPI number
- 1104088905
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christy Aquino, Director of Provider Enrollment(470) 271-3427
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Piedmont Professional Services, LLC's NPI number?
- Piedmont Professional Services, LLC's National Provider Identifier (NPI) is 1104088905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Piedmont Professional Services, LLC?
- Piedmont Professional Services, LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Piedmont Professional Services, LLC located?
- Piedmont Professional Services, LLC's practice location on file with NPPES is 1855 Hudson Bridge Rd, Stockbridge, GA 30281-5000.
- What is Piedmont Professional Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Piedmont Professional Services, LLC is (770) 801-2500.
- Does Piedmont Professional Services, LLC accept Medicare?
- Piedmont Professional Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Piedmont Professional Services, LLC?
- The authorized official listed on Piedmont Professional Services, LLC's NPPES record is Christy Aquino, Director of Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Piedmont Professional Services, LLC's NPI active?
- Yes — Piedmont Professional Services, LLC's NPI (1104088905) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.