Premier Family Medicine Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

055484 Issued in GA

Legal business name

PREMIER FAMILY MEDICINE CENTER, LLC

Practice address

484 Irvin CT
Suite 110
Decatur, GA 30030-5406

Phone

(404) 296-5114

Fax

(404) 296-5115

NPI assigned

Jul 12, 2008

Organization subpart

No

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

Authorized official

Name

Kim P Eubanks, M.D.

Title

Provider

Phone

(404) 296-5114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1306000906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 IRVIN CT STE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305406",
            "telephone_number": "404-296-5114",
            "fax_number": "404-296-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 IRVIN CT",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305406",
            "telephone_number": "404-296-5114",
            "fax_number": "404-296-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "404-296-5114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Care Transit
• Precision Hand and Reconstructive Surgery
• Precision Sticks Mobile Phlebotomy Services
• Anissa Prefontaine, LCSW
• Marlene Prejean
• Premier Healthcare Center Corp
• Premier Mobile Care Corp
• Premier Plastic Surgery Associates, LLC
• Premier Spine Specialists, LLC
• Premier Womens Specialist LLC

• Family Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.