Active NPI
Premier Medical Services LLC
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1003548553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREMIER MEDICAL SERVICES LLC
- Practice address
- 8300 Douglas Ave Suite 800
Dallas, TX 75225 - Phone
- (817) 381-6813
- NPI assigned
- Jun 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marvetta Scott, MD
- Title
- Owner/MD
- Phone
- (817) 381-6813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8300 Douglas Ave Suite 800
Dallas, TX 75225
Mailing address
8300 Douglas Ave
Dallas, TX 75225-5603
Phone (817) 381-6813
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | md@premiermedicalservices.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8300 Douglas Ave
Dallas, TX 75225
Phone (214) 380-3485
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Dallas, TX
- NPI 1467989715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657497600000",
"number": "1003548553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 DOUGLAS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255603",
"telephone_number": "817-381-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 DOUGLAS AVE SUITE 800",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "817-381-6813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-24",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "MARVETTA",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "817-381-6813",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "md@premiermedicalservices.org",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8300 Douglas Ave Suite 800",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "75225",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.