Premier Integrated Health

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

001002367 Issued in NC

Legal business name

PREMIER INTEGRATED HEALTH

Practice address

1554 Union Rd Ste C
Gastonia, NC 28054-5581

Phone

(704) 678-8876

NPI assigned

Sep 9, 2015

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Cabaniss, PA-CNPI 1497862155

Title

Owner

Phone

(843) 817-7077

Specialties & licenses 1

Addresses

Practitioners 1

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.

• William Carlton Cabaniss Jr., P.A.

  • Medical Physician Assistant
  • Gastonia, NC
  • NPI 1497862155
  NPD (past) Authorized official

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1205204138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 UNION RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545581",
            "telephone_number": "704-678-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 UNION RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545581",
            "telephone_number": "704-678-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTEGRATED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "CABANISS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-817-7077",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "001002367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Practice Management Resource Group LLC
• Michael Canaan Prater, D.O.
• Christopher Allen Prato, MD
• Tanya Ann Pratt-Doctry, PA-C
• Preeminent Home Health LLC
• Premier Pharmacy and Wellness Center
• Premise Health of North Carolina Medical PC (DTNA - Gastonia)
• Premise Health of North Carolina Medical, P.C (DTNA - Gastonia Occ)
• Prescriptions Plus Inc (Prescriptions Plus)
• Lisa Austin Presnell, RNC-OB

• Adult Mental Health Clinic/Center in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.