Premier Family Health Care Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

MHL-042-052 Issued in NC

Legal business name

PREMIER FAMILY HEALTH CARE SERVICES, LLC

Practice address

1704 Hwy 158
Roanoke Rapids, NC 27870-8378

Phone

(252) 519-2273

Fax

(252) 535-2399

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Stacie Medlin Shearin, MSW

Title

President/Owner

Phone

(252) 519-2273

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 2

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

• Cindy Brown Cockrell, LCSW

  • Clinical Social Worker
  • Littleton, NC
  • NPI 1710077326
  NPD (past)
• Stacie M Medlin, LCSW

  • Clinical Social Worker
  • Jarvisburg, NC
  • NPI 1013293182
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1356363493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HWY 158",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708378",
            "telephone_number": "252-519-2273",
            "fax_number": "252-535-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HWY 158",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708378",
            "telephone_number": "252-519-2273",
            "fax_number": "252-535-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "SHEARIN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "MEDLIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-519-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "MHL-042-052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300375",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019YW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409692",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LME PROVIDER NUMBER",
            "identifier": "8388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Louise Poindexter, FNP-C
• Marie Lee Pope, LCSW
• Anita Michelle Powell
• Premier Family Health Care Services LLC
• Premier Family Health Care Services LLC
• Premiere Health and Wellness Medical Center PLLC
• Prime Care, Inc
• Primecare Medical Center Inc
• Pro Vision Optometric Center PA
• James Paul Pulaski, MD

• Case Management Agency in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.