PREMIER MEDICAL – NPI #1992276091
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PREMIER MEDICAL is a provider located in NORTH CHARLESTON, SC. NPPES has assigned the NPI number 1992276091 to PREMIER MEDICAL on December 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PREMIER MEDICAL” is a dba name, the actual legal business name for this organization is PREMIER MEDICAL OF SC LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on May 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIER MEDICAL below.

NPI Profile for
PREMIER MEDICAL OF SC LLC

NPI Number
1992276091
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIER MEDICAL OF SC LLC
Doing Business As (dba): PREMIER MEDICAL
Primary location
5880 RIVERS AVE
NORTH CHARLESTON, SC 29406-6053
Phone: (843) 225-2374 Fax: (843) 459-1923
1 Other location(s):
354 Folly Rd Ste 5
Charleston, SC 29412-2594
Phone: (843) 225-2374
Mailing address
354 FOLLY RD STE 5
CHARLESTON, SC 29412-2594
Phone: (843) 225-2374 Fax:
Organization Subpart
No
Authorized Official
KAREY BREEN
MD
Phone: (843) 225-2374
Updated
Certification Date
May 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PREMIER MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP9928
MEDICAIDSCPG0752
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.