OrganizationActive
Piedmont Professional Services, LLC
NPI 1104088905 · Nephrology Physician · Stockbridge, GA
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
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1855 Hudson Bridge Rd
Stockbridge, GA 30281-5000
Phone: (770) 801-2500
Fax: (770) 803-2121
Street-level locationGet directions
Mailing address
Po Box 102038
Atlanta, GA 30368-2038
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2021-08-10
- Certified
- 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.