NPIMap

Organization Active NPI

Premier Medical Associates, LLC

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1114648920
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PREMIER MEDICAL ASSOCIATES, LLC
Practice address
620 Stanton Christiana Rd
Ste 101
Newark, DE 19713-2134
Phone
(302) 449-7484
NPI assigned
Sep 9, 2022
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Mr. Lyron Deputy, NPNPI 1134441702
Title
Ceo
Phone
(302) 449-9314

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

620 Stanton Christiana Rd
Ste 101
Newark, DE 19713-2134

Mailing address

620 Stanton Christiana Rd
Ste 101
Newark, DE 19713-2134
Phone (302) 449-7484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200619000031 DE Part B Supplier - Clinic/Group Practice 0345662490 Receives reassigned benefits from 14 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, DE; Newark, DE; Millsboro, DE; Milford, DE; Middletown, DE; Lewes, DE; Georgetown, DE; Dover, DE

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Premier Medical Associates3 organizations share this tax ID, including this one
Part of
Premier Medical Associates

Other organizations with this tax ID 2

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

Locations

1893 S DuPont Hwy
Dover, DE 19901
Phone (302) 734-8620

34434 King Street Row
Ste 2
Lewes, DE 19958
Phone (302) 387-1407

32695 Long Neck Rd
Unit 2
Millsboro, DE 19966
Phone 3024499314108

261 Chapman Rd
Ste 101
Newark, DE 19702
Phone (302) 453-4101

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1114648920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132134",
            "telephone_number": "302-449-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132134",
            "telephone_number": "302-449-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER MEDICAL ASSOCIATES",
        "enumeration_date": "2022-09-09",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "DEPUTY",
        "authorized_official_first_name": "LYRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-449-9314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.

Verify at the official NPI Registry.