Premier Clinics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9900209 Issued in NC

Legal business name

PREMIER CLINICS

Practice address

7704 England St
Charlotte, NC 28273-5954

Phone

(803) 326-3000

Fax

(803) 326-3003

NPI assigned

Aug 15, 2011

Organization subpart

Yes

Parent organization

PREMIER CLINICS ROCK HILLAs reported in NPPES

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

Authorized official

Name

Abimbola Ekunsanmi

Title

Practice Administrator

Phone

(803) 326-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Premier Clinics

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bamidele A Ekunsanmi, M.D

  • Internal Medicine Physician
  • Rock Hill, SC
  • NPI 1932156171
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1124307624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323047",
            "telephone_number": "803-326-3000",
            "fax_number": "803-326-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 ENGLAND ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735954",
            "telephone_number": "803-326-3000",
            "fax_number": "803-326-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER CLINICS ROCK HILL",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "EKUNSANMI",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-326-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9900209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906658",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.