340B Drug Pricing Program Database
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DSH110091C Piedmont Rockdale Hospital, Inc. (Active)
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Main Details
Name
Piedmont Rockdale Hospital, Inc.
Subdivision Name
Piedmont Oncology Institute - Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110091C
Medicare Provider Number
110091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
Piedmont Healthcare
Stewart Witherell, CFO
(770) 918-3101
Primary Contact
Piedmont Rockdale Hospital, Inc.
Amanda Meriwether Miller, Director of Pharmacy
(770) 918-3752
Addresses
Street Address
1412 Milstead Ave NE
Conyers, GA 30012
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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