Professional Premium Services Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PROFESSIONAL PREMIUM SERVICES INC

Practice address

2470 Windy Hill Rd SE
Num 366C
Marietta, GA 30067-8613

Phone

(404) 414-2523

Fax

(404) 393-8880

NPI assigned

May 22, 2015

Last updated

Aug 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yesdel Acosta

Title

Owner

Phone

(404) 414-2523

Specialties & licenses 1

Addresses

Tax ID family

Annette Mary Bernard MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Annette Mary Bernard MD P.a.

  • Health Service Clinic/Center
  • Marietta, GA
  • NPI 1073993150
  NPD tax ID

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1366821365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE",
            "address_2": "NUM 366C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678613",
            "telephone_number": "404-414-2523",
            "fax_number": "404-393-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE",
            "address_2": "NUM 366C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678613",
            "telephone_number": "404-414-2523",
            "fax_number": "404-393-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PREMIUM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YESDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-414-2523"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro- Holism Professional Corporation (Primary Medical Healthcare Practice)
• Proactive Physicians of Marietta, PC
• Melissa Joy Probst, APRN
• Procare Medical Group, LLC
• Marie-Therese N Proctor, PHARMD
• Progressive Diabetic Solutions
• Progressive Health Services LLC
• Progressive Physical Therapy, LLC (Progressive Pelvis Physical Therapy)
• Prohbo - Marietta LLC
• Project Growth Initiative Inc

• Health Service Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.