Premier Allergy & Asthma LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

PRO1106 Issued in GA

Legal business name

PREMIER ALLERGY & ASTHMA LLC

Practice address

5109 Highway 278 NE Ste D
Suite D
Covington, GA 30014-2608

Phone

(404) 402-0220

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Christina Stein, APRN, BC, FNP

Title

Owner

Phone

(404) 402-0220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1144641275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 RIVER SHORE PKWY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 HIGHWAY 278 NE STE D",
            "address_2": "SUITE D",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142608",
            "telephone_number": "404-402-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ALLERGY & ASTHMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-402-0220",
        "authorized_official_credential": "APRN, BC, FNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "PRO1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000926197O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dexter Cicero Poss, CRNA
• Kristen Elizabeth Poteracki, MSN, APRN, FNP-C
• Ebony Powell
• Shorna Lee Powell
• Jantrice Montez Power
• Premier Ophthalmology LLC
• Premier Ophthalmology, LLC
• Premium Care Med Group Inc
• Karen Lee Prendergast, RD,LD
• Prime Mission Home Care

• Medical Specialty Clinic/Center in Covington, GA
• Providers in Covington, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.