Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Piedmont Professional Services, LLC

Organization Family Medicine Physician · NPI 1104088905

Piedmont Professional Services, LLC is a Family Medicine Physician in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1855 Hudson Bridge Rd
Stockbridge, GA 30281-5000
Phone: (770) 801-2500
Fax: (770) 803-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X (GA)
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X (GA)

Record details

NPI number1104088905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Aquino — Director Of Provider Enrollment · (470) 271-3427
NPI enumeratedJuly 2, 2008
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing addressPo Box 102038, Atlanta, GA 30368-2038

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