NPIMap

Organization Active NPI

Premier Health Management, Inc.

  • Eyewear Supplier
  • Mobile, AL
National Provider Identifier
1023062213
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PREMIER HEALTH MANAGEMENT, INC.
Doing business as
Premier Health Management Inc
Practice address
610 Providence Park Dr E
BLDG. 2, Suite 202
Mobile, AL 36695-4622
Phone
(251) 635-1909
NPI assigned
May 20, 2006
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HEALTH MANAGEMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James W Hartman III
Title
Ceo
Phone
(251) 341-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

610 Providence Park Dr E
BLDG. 2, Suite 202
Mobile, AL 36695-4622

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

Other names 1

  • Premier Health Management Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073734 AL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 6608869342 Practice locations: Mobile, AL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Premier Medical Group, Inc610 Providence Park Dr, Mobile, AL 36695-4618(251) 635-0919 Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Prem HLTH MGMT Throat6 organizations share this tax ID, including this one
Part of
Prem HLTH MGMT Throat

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1023062213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E",
            "address_2": "BLDG. 2, SUITE 202",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954622",
            "telephone_number": "251-635-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH MANAGEMENT INC",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-341-3405",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Management Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.