Premier Cardiovascular Care PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1837 Issued in NC

Legal business name

PREMIER CARDIOVASCULAR CARE PLLC

Practice address

1600 Churchill Downs Dr
Waxhaw, NC 28173-6627

Phone

(704) 609-7334

Fax

(469) 373-3354

NPI assigned

Apr 1, 2015

Organization subpart

No

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

Authorized official

Name

David Nathaniel SmithNPI 1780780031

Title

MD

Phone

(704) 609-7334

Specialties & licenses 8

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18082/brand/1/csg/1/fhir/r4

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Cardiovascular Care & Wellness

  dba Premier Cardiovascular Care, LLC

  • Cardiovascular Disease Physician
  • Charlotte, NC
  • NPI 1043821218
  NPPES parent name

Practitioners 6

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

• David Nathaniel Smith, MD

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1780780031

  SC

  Medicare reassignment NPD Authorized official
• Tremika Rene Baldwin, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1699217208
  Medicare reassignment NPD
• Willie Edward Hester Jr., M.D.

  • Nephrology Physician
  • Rutherfordton, NC
  • NPI 1730354002
  Medicare reassignment NPD
• Danielle Marie Benoit, OT

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1346592722
  NPD (past)
• Janice Kay Blazey, MPT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1740252840
  NPD (past)
• Margaret McBride Hanna, PT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1154771418
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1245625813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CHURCHILL DOWNS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736627",
            "telephone_number": "704-609-7334",
            "fax_number": "469-373-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CHURCHILL DOWNS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736627",
            "telephone_number": "704-609-7334",
            "fax_number": "469-373-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Bridgemill Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297079211",
            "country_code": "US",
            "telephone_number": "704-609-7334",
            "fax_number": "469-373-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CARDIOVASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-609-7334"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "1837",
            "primary": true
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@pcvcare.com",
            "affiliation": "N",
            "address_1": "1600 Churchill Downs Dr",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@pcvcare.com",
            "affiliation": "N",
            "address_1": "2021 Bridgemill Dr Ste 102",
            "city": "Fort Mill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297079211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.