PREMIER HEALTH MANAGEMENT, INC. (NPI# 1023062213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023062213 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTH MANAGEMENT, INC. |
| Other Organization Name | PREMIER HEALTH MANAGEMENT INC |
| Practice Address |
610 Providence Park Dr E Bldg. 2, Suite 202 Mobile AL 36695-4622 |
| Mailing Address |
2880 Dauphin St Mobile AL 36606-2457 |
| Practice Telephone | 2516351909 |
| Mailing Telephone | 2514731900 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | JAMES W HARTMAN III (CEO) |
| Authorized Official Telephone | 2513413405 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER HEALTH MANAGEMENT INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Premier Health Management Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558314666 | Premier Health Management, Inc. | Eyewear Supplier (Equipment, not the service) | 126 Alabama Ave W, Thomasville, AL 36784-3100 | 2006-05-18 |
| 1437406121 | Premier Health Management, Inc. | Eyewear Supplier (Equipment, not the service) | 7101 Us Highway 90, Suite 204, Daphne, AL 36526-9517 | 2012-08-13 |
| 1033156153 | Premier Health Management, Inc. | Eyewear Supplier (Equipment, not the service) | 2880 Dauphin St, Mobile, AL 36606-2457 | 2006-05-31 |
| 1073568036 | Premier Health Management, Inc. | Eyewear Supplier (Equipment, not the service) | 5 Medical Park, Fairhope, AL 36532-1873 | 2006-05-24 |
| 1336108232 | Premier Health Management, Inc. | Eyewear Supplier (Equipment, not the service) | 3701 Dauphin St, Mobile, AL 36608-1756 | 2006-03-20 |
| 1992774392 | Premier Health Management, Inc. | Eyewear Supplier (Equipment, not the service) | 1206 College Ave, Jackson, AL 36545-2407 | 2006-03-16 |
| 1538154760 | Premier Health Management, Inc. | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2005-09-14 |
| Street Address |
610 PROVIDENCE PARK DR E BLDG. 2, SUITE 202 |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990765 | Percy Vandorn Crocker | Otolaryngology | 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | 2005-05-24 |
| 1790272250 | Elizabeth Brooke Stewart | Family Medicine | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2018-04-19 |
| 1598214116 | Carolyn Waddell | Physician Assistant | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2016-09-23 |
| 1265861355 | Alabama Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg 1, Suite 101, Mobile, AL 36695-4622 | 2013-11-08 |
| 1083043178 | Alabama Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg 1, Suite 102, Mobile, AL 36695-4622 | 2013-11-08 |
| 1811249444 | Dedra Snow | Pharmacist | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2012-10-05 |
| 1063770709 | Jonathan Michael Holmes | Pediatrics | 610 Providence Park Dr E, Ste. 201, Mobile, AL 36695-4622 | 2012-05-01 |
| 1548460116 | Andrea Lamendola Thompson | Audiologist | 610 Providence Park Dr E, Bldg. 2 Suite 202, Mobile, AL 36695-4622 | 2007-07-23 |
| 1255535662 | Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg. 1 Suite 102, Mobile, AL 36695-4622 | 2007-06-12 |
| 1235146499 | Barbara M. Williams | Nurse Practitioner | 610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1568704385 | Eye Express | Eyewear Supplier (Equipment, not the service) | 5256 Highway 90 W Ste B, Mobile, AL 36619-4218 | 2013-03-19 |
| 1619147196 | Joseph D Barlar O.d., P.C. | Eyewear Supplier (Equipment, not the service) | 107 Saint Francis St Ste 108, Mobile, AL 36602-3301 | 2008-03-11 |
| 1356535181 | Dauphin Optical | Eyewear Supplier (Equipment, not the service) | 108 W I65 Service Rd S, Mobile, AL 36608-5902 | 2007-09-05 |
| 1134273261 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3743 Airport Blvd, Mobile, AL 36608 | 2007-01-23 |
| 1770633067 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 5451 Halls Mill Rd, Mobile, AL 36619-8801 | 2007-01-11 |
| 1396895348 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 450 South Schillinger Rd., Mobile, AL 36608 | 2007-01-11 |
| 1669546099 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3201 Bel Air Mall, Mobile, AL 36606-3202 | 2006-11-18 |
| 1740211994 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3954 Airport Blvd, Pinbrook Shopping Ctr, Mobile, AL 36608-2224 | 2006-07-06 |
| 1164477790 | National Vision. Inc. | Eyewear Supplier (Equipment, not the service) | 5245 Service Rd S Higgins Rd, Mobile, AL 36619-9541 | 2006-05-23 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.