PREMIUM CARE MED GROUP INC (NPI# 1295965986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295965986 |
| Entity Type | Organization |
| Organization Name | PREMIUM CARE MED GROUP INC |
| Practice Address |
3828 Salem Rd Suite 200 Covington GA 30016-4528 |
| Practice Telephone | 4044228719 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | TED M PENNEL (CEO) |
| Authorized Official Telephone | 4044228719 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 029068 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3828 SALEM RD SUITE 200 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265605 | Tipton County Integrated Medicine | Internal Medicine | 201 W Pleasant Avenue, Covington, TN 38019-2538 | 2016-10-06 |
| 1942539861 | P Craig Parker, Md | Internal Medicine | 47 Oaklawn Dr, Covington, LA 70433-4520 | 2009-12-24 |
| 1043488364 | Vijaya Swamy | Internal Medicine | 10109 Fieldcrest Walk, Covington, GA 30014-2035 | 2008-02-20 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1841496718 | Brandon Deann Simon-davis | Internal Medicine | 130 Lakeview Circle, Covington, LA 70433 | 2007-06-26 |
| 1053512996 | Eastview Internal Medicine, P.C. | Internal Medicine | 3285 Salem Rd, Covington, GA 30016-1863 | 2007-05-29 |
| 1386855138 | Lemuel Phillips Jenkins | Internal Medicine | 131 Cherokee Rose Ln Ste B, Covington, LA 70433-7244 | 2007-05-24 |
| 1679695910 | Douglas H Rank | Internal Medicine | 12 W Pike St, Covington, KY 41011 | 2007-04-06 |
| 1154499481 | Nirmala Sowbhagya Chelliah | Internal Medicine | Eastview Internal Medicine, P.C. 3285 Salem Road, Covington, GA 30016-1863 | 2006-12-04 |
| 1568545143 | Kenneth C Roberts Do Apmc | Internal Medicine | 95 E Fairway Drive, Covington, LA 70433 | 2006-10-24 |
| Find all providers in COVINGTON | ||||
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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.