PREMIER MEDICAL CLINIC OF GREENVILLE PC (NPI# 1568800688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568800688 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL CLINIC OF GREENVILLE PC |
| Practice Address |
1504 Hospital St Greenville MS 38703-3219 |
| Mailing Address |
Po Box 4577 Greenville MS 38704-4577 |
| Practice Telephone | 6623789929 |
| Practice Fax Number | 6623789926 |
| Mailing Telephone | 6623328848 |
| Mailing Fax Number | 6623328854 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | MS. KATHERINE COLBERT (BUSINESS MANAGER) |
| Authorized Official Telephone | 6623328848 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 14161 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114839 | 05 |
| Street Address |
1504 HOSPITAL ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275562464 | Parvez Karim | Internal Medicine | 1504 Hospital St, Greenville, MS 38703-3219 | 2006-07-01 |
| 1568002145 | Sharron Shonet Moore | Nurse Practitioner | 1504 Hospital St, Greenville, MS 38703-3219 | 2020-01-10 |
| 1861050437 | Bobbie Kay Johnson | Nurse Practitioner | 1504 Hospital St, Greenville, MS 38703-3219 | 2019-05-30 |
| 1508051103 | Premier Medical Clinic | Internal Medicine | 1504 Hospital St, Greenville, MS 38703-3219 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802497 | Regenerative Health 360 LLC | Clinic/Center | 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265 | 2020-02-10 |
| 1134688989 | Jean Barker Md Inc | Clinic/Center | 1659 E Union St, Greenville, MS 38703-3267 | 2019-03-19 |
| 1063909539 | Np Healthcare Clinic | Clinic/Center | 559a Highway 1 N, Greenville, MS 38701-3136 | 2018-04-19 |
| 1033638531 | Healthworks Med Group of South Carolina P C | Clinic/Center | 244 Terminal Rd Bldg 1045, Greenville, SC 29605-5508 | 2017-09-15 |
| 1659816932 | Proactive Md Sc,p.a. | Clinic/Center | 223 Adley Way, Greenville, SC 29607-6511 | 2016-12-22 |
| 1619336344 | John R Rowell Md21640 | Clinic/Center | 309 Belmont Ave, Greenville, SC 29601-4303 | 2016-02-23 |
| 1194192468 | Hammond Assessment Services, P.a. | Clinic/Center | 355 Woodruff Rd Ste 101, Greenville, SC 29607-3419 | 2015-08-21 |
| 1619394335 | Passport Health Holdings, LLC | Clinic/Center | 37 Villa Rd Ste 301, Greenville, SC 29615-3038 | 2014-03-19 |
| 1295157139 | Healthworks Med Group of South Carolina P C | Clinic/Center | 300 Garlington Rd, Greenville, SC 29615-4614 | 2014-01-13 |
| 1265779649 | Kristy D. Fox | Clinic/Center | 824 Mercer Rd, Greenville, PA 16125-8416 | 2013-01-06 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on PREMIER MEDICAL CLINIC OF GREENVILLE PC.
| 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.