Organization Active NPI

Premier Family Care I, Inc

Doing business as Premier Physicians

  • General Practice Physician
  • Midland, TX
National Provider Identifier
1275522864
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREMIER FAMILY CARE I, INC
Doing business as
Premier Physicians
Practice address
4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone
(432) 686-6605
Fax
(432) 682-2284
NPI assigned
Oct 17, 2005
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Candace Wynne
Title
Credentialing
Phone
(432) 686-6605

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Dermatology Physician 207N00000X
MOHS-Micrographic Surgery Physician 207ND0101X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Infectious Disease Physician 207RI0200X
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X
Pediatrics Physician 208000000X
Pediatric Adolescent Medicine Physician 2080A0000X
Plastic Surgery Physician 208200000X
Neurology Physician 2084N0400X
General Practice Physician 208D00000X Primary
Interventional Pain Medicine Physician 208VP0014X
Cardiac Rehabilitation Clinic/Center 261QR0404X

Addresses

Primary practice location

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817

Mailing address

PO Box 5426
Belfast, ME 04915-5400
Phone (432) 686-6600

Other identifiers 3

IdentifierTypeStateIssuer
018061401OtherTXMEDICAID EPSDT
0008AHOtherTXBCBS
079837301MedicaidTX

Other names 1

  • PREMIER PHYSICIANS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CANDACE.WYNNE@MIDLANDHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000343 TX Part B Supplier - Clinic/Group Practice 2567351372 Receives reassigned benefits from 87 practitioners
Practice locations: Midland, TX; Odessa, TX; Big Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2205199Premier Physicians Lifestyle Intensive Cardiac4214 Andrews Hwy Suite 109, Midland, TX 79703Certificate of waiverDec 13, 2026
45D2269348Premier Physicians4214 Andrews Hwy Ste 102, Midland, TX 79703Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

Locations

2601 Wasson Rd
Big Spring, TX 79720
Phone (432) 714-4284

616 S Gregg St
Big Spring, TX 79720
Phone (432) 267-8226

1805 S County Road 1105
Ste D
Midland, TX 79706
Phone (432) 221-1325

2002 W Ohio Ave
Midland, TX 79701
Phone (432) 221-4243

2004 W Ohio Ave
Midland, TX 79701
Phone (432) 686-8724

2012 W Ohio Ave
Midland, TX 79701
Phone (432) 221-3200

2501 W Illinois Ave
Ste D
Midland, TX 79701
Phone (432) 618-9975

2706 W Cuthbert Ave
Ste C
Midland, TX 79701
Phone (432) 221-5970

3310 W Wadley Ave
Midland, TX 79707
Phone (432) 697-6036

3411 Caldera Blvd
Midland, TX 79707
Phone (432) 689-2046

3415 N Loop 250 W
Bldg 4
Midland, TX 79707
Phone (432) 221-3300

3415 N Loop 250 W
Ste 4
Midland, TX 79707
Phone (432) 221-3300

400 N Garfield
Ste 251
Midland, TX 79701
Phone (432) 570-1024

400 Rosalind Redfern Grover Pkwy
Ste 120
Midland, TX 79701
Phone (432) 221-3700

400 Rosalind Redfern Grover Pkwy
Ste 261
Midland, TX 79701
Phone (432) 221-4780

400 Rosalind Redfern Grover Pkwy
Ste 271
Midland, TX 79701
Phone (432) 221-2700

4214 Andrews Hwy
Ste 109
Midland, TX 79703
Phone (432) 221-2200

4214 Andrews Hwy
Ste 205
Midland, TX 79703
Phone (432) 221-1301

4214 Andrews Hwy
Ste 220
Midland, TX 79703
Phone (432) 221-5970

5615 Deauville
Ste 240
Midland, TX 79706
Phone (432) 221-5560

805 E Florida Ave
Midland, TX 79701
Phone (915) 585-0460

600 N Grant Ave
Ste 210
Odessa, TX 79761

600 N Washington Ave
Odessa, TX 79761
Phone (432) 337-5223

Practitioners & affiliated clinicians

Practitioners 148

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.

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1275522864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5426",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155400",
            "telephone_number": "432-686-6600",
            "fax_number": "432-682-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-686-6605",
            "fax_number": "432-682-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY CARE I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "432-686-6605"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "018061401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008AH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079837301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CANDACE.WYNNE@MIDLANDHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4214 Andrews Hwy Ste 240",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797034817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PREMIER PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.