Premier Cardiovascular Care & Wellness

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PREMIER CARDIOVASCULAR CARE & WELLNESS

Practice address

4707 South Blvd
Charlotte, NC 28217-2117

Phone

(704) 635-6071

Fax

(855) 655-3374

NPI assigned

Aug 12, 2020

Organization subpart

Yes

Parent organization

PREMIER CARDIOVASCULAR CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Trevina R Washington

Title

Office Manager

Phone

(704) 635-6071

Specialties & licenses 1

Addresses

Other names 1

• Premier Cardiovascular Care, LLC Doing business as

Electronic endpoints 1

Part of

Premier Cardiovascular Care

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.

• Premier Cardiovascular Care PLLC

  • Medical Specialty Clinic/Center
  • Waxhaw, NC
  • NPI 1245625813
  NPPES parent name

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1043821218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 TORINGDON WAY STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773191",
            "telephone_number": "704-635-6071",
            "fax_number": "980-221-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172117",
            "telephone_number": "704-635-6071",
            "fax_number": "855-655-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOVASCULAR CARE & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER CARDIOVASCULAR CARE, LLC",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TREVINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-635-6071",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AthenaHealth",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR software",
            "address_1": "4707 South Blvd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282172117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Cardiovascular Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preferred Chiropractic Center, P.C.
• Preferred Home Care, LLC
• Blake William Prelipp, DC
• Premcare
• Premier Analytical Services
• Premier Clinics
• Premier Community Associates, Inc.
• Premier Gynecology & Wellness, PLLC
• Premier Healthcare Staffing, LLC
• Premier Home Health Care Services, Inc.

• Cardiovascular Disease Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.