Premier Injury Specialist

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PREMIER INJURY SPECIALIST

Practice address

1035 Southcrest Dr Ste 120
Stockbridge, GA 30281-6120

Phone

(678) 464-3078

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnny Brown

Title

Manager

Phone

(678) 464-3078

Specialties & licenses 1

Addresses

Tax ID family

Premier Injury Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premier Injury Specialist

  • Pain Medicine Physician
  • Atlanta, GA
  • NPI 1750215976
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Injury Specialist

  • Pain Medicine Physician
  • Atlanta, GA
  • NPI 1750215976
  NPPES parent name

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1063238749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2811",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302690811",
            "telephone_number": "678-464-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR STE 120",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816120",
            "telephone_number": "678-464-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INJURY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-464-3078"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Resources, Inc.
• A'Ja Prejean
• Premier Christian Counseling Services, LLC.
• Premier Family Wellness Center
• Premier Health Transit LLC
• Premier Rheumatology
• Prendergast Group, LLC
• Anissa Presley-Radford
• Taryn Marie Prestidge, NP-C
• Christina Price-Jackson, D.O.

• Health Service Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.