Premier Village Physicians, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER VILLAGE PHYSICIANS, LLC

Practice address

12680 Longleaf LN
Fishers, IN 46038-9188

Phone

(317) 777-0628

Fax

(317) 342-3117

NPI assigned

Jun 8, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Vernon, DONPI 1558065094

Title

Owner, Ceo, Physician

Phone

(317) 777-0628

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Tyler Lee Vernon, DO

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
  • NPI 1558065094
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1134052053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12680 LONGLEAF LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389188",
            "telephone_number": "317-777-0628",
            "fax_number": "317-342-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12680 LONGLEAF LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389188",
            "telephone_number": "317-777-0628",
            "fax_number": "317-342-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VILLAGE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER, CEO, PHYSICIAN",
        "authorized_official_telephone_number": "317-777-0628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Prakel, PHARMD
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• Ellie Marie Priddy

• Family Medicine Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.