Active NPI
Premier Marketing Associates LTD Partnership
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
National Provider Identifier
1407851744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PREMIER MARKETING ASSOCIATES LTD PARTNERSHIP
- Doing business as
- Millennium Medical
- Practice address
- 7591 Fern Ave
Ste. 1301
Shreveport, LA 71105-5750 - Phone
- (318) 424-4150
- Fax
- (318) 424-4181
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles D Gray Jr.
- Title
- Chief Operating Officer
- Phone
- (318) 424-4150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7591 Fern Ave
Ste. 1301
Shreveport, LA 71105-5750
Mailing address
7591 Fern Ave
Ste. 1301
Shreveport, LA 71105-5750
Phone (318) 424-4150
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00040098 | Other | MS | MEDICAID |
| 0017951970003 | Other | PA | MEDICAID |
| 0748733-01 | Other | TX | MEDICAID DME ONLY |
| 0748733-03 | Other | TX | MEDICAID WHEELCHAIR/REHAB |
| 0136891 | Other | TN | BLUE CROSS BLUE SHIELD |
| 00203704 | Other | PA | BLUE CROSS BLUE SHIELD |
| 017802100 | Other | MD | MEDICAID |
| 4581514 | Other | TN | MEDICAID |
| 62821831 | Other | NM | MEDICAID |
| 009998800 | Medicaid | AL | |
| 623236 | Other | TRIGON BC/BS ANTHEM | |
| 90012378 | Other | KY | MEDICAID |
| 49013 | Other | LA | BLUE CROSS BLUE SHIELD |
| 9105867 | Other | VA | MEDICAID |
| 100802330B | Other | OK | MEDICAID |
| 1910635 | Other | LA | MEDICAID |
Other names 1
- Millennium Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930093543 | LA | DME Supplier - Medical Supply Company | 5092831628 | Practice locations: Shreveport, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Millennium Medical | Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
7591 Fern Ave
Ste 1301
Shreveport, LA 71105
Phone (318) 424-4150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488326400000",
"number": "1407851744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7591 FERN AVE",
"address_2": "STE. 1301",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055750",
"telephone_number": "318-424-4150",
"fax_number": "318-424-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7591 FERN AVE",
"address_2": "STE. 1301",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055750",
"telephone_number": "318-424-4150",
"fax_number": "318-424-4181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MARKETING ASSOCIATES LTD PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2017-03-01",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "318-424-4150",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "00040098",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "0017951970003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME ONLY",
"identifier": "0748733-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WHEELCHAIR/REHAB",
"identifier": "0748733-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0136891",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00203704",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "017802100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "4581514",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "62821831",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009998800",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON BC/BS ANTHEM",
"identifier": "623236",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "90012378",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49013",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "9105867",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "100802330B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "1910635",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Millennium Medical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.