Premier Medical Services, Inc.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN2797442 Issued in FL

Legal business name

PREMIER MEDICAL SERVICES, INC.

Practice address

296 NW Rowe CT
Lake City, FL 32055-8966

Phone

(386) 719-6576

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Gulmer Johnson Sr., MSN, BSN, RN

Title

President

Phone

(386) 719-6576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205862802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 NW ROWE CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558966",
            "telephone_number": "386-719-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 NW ROWE CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558966",
            "telephone_number": "386-719-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "GULMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-719-6576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MSN, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN2797442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique K Powers
• Kathy Powers
• Lavanya Prakasam
• Carol Ann Praley
• Lori Ann Prater, PHARMD
• Tiffany J Presnell
• Michael Preston, PHARM D
• David G Price, DDS
• Destiny Price
• Tim Price

• General Practice Registered Nurse in Lake City, FL
• Providers in Lake City, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.