Premier Surgical Group, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26856 Issued in SC

Legal business name

PREMIER SURGICAL GROUP, LLC

Practice address

3019 Farrow Rd
Columbia, SC 29203-7001

Phone

(803) 779-3222

Fax

(803) 779-3223

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Kaylene Weircox, M.D.

Title

Owner

Phone

(803) 779-3222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1306908926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020062",
            "telephone_number": "803-779-3222",
            "fax_number": "803-779-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037001",
            "telephone_number": "803-779-3222",
            "fax_number": "803-779-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "WEIRCOX",
        "authorized_official_first_name": "KAYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-779-3222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "26856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premise Health of South Carolina Medical PC (FN - Columbia)
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• Premium Labs LLC
• Appollonia Aria Prescod, LMSW

• Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.