Premier Family & Sports Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME105078 Issued in FL

Legal business name

PREMIER FAMILY & SPORTS MEDICINE, LLC

Doing business as

PremierMED

Practice address

2940 Maguire Rd Ste 200
Ocoee, FL 34761-4751

Phone

(407) 581-9065

Fax

(321) 348-5827

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Adam Langley, M.D.

Title

Co-Owner/Physician

Phone

(407) 581-9065

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PremierMED Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1184970626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 MAGUIRE RD STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614751",
            "telephone_number": "407-581-9065",
            "fax_number": "321-348-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MAGUIRE RD STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614751",
            "telephone_number": "407-581-9065",
            "fax_number": "321-348-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Maguire Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614751",
            "country_code": "US",
            "telephone_number": "407-581-9065",
            "fax_number": "321-348-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER FAMILY & SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-581-9065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105078",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME105459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004227500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004046500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PremierMED",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PremierMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valentina Amanda Portillo Prado
• Nancy Prada
• Amina Malika Pratt-Eugene
• Alfonso Preciado, MD
• Precision Lab Solutions
• Premier Pediatrics
• Ashley Price
• Primary Care Advanced PLLC
• Primary Care Specialists LLC
• Primary Pathway Health PLLC

• Family Medicine Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.