Premier Weight Loss Management

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

PREMIER WEIGHT LOSS MANAGEMENT

Practice address

122 Canal St Ste 102
Pooler, GA 31322-4408

Phone

(912) 450-0999

Fax

(912) 450-0998

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By 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

Ludella BrownNPI 1700999760

Title

Owner

Phone

(912) 344-8038

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ludella Brown, APRN NP-C

  • Adult Health Nurse Practitioner
  • Pooler, GA
  • NPI 1700999760
  NPD Authorized official
• Jacqueline Ann Brown, FNP

  • Family Nurse Practitioner
  • Pooler, GA
  • NPI 1942578737
  NPD
• Daisy Gupta I, DO

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1437471968
  NPD (past)

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1417632175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CANAL ST STE 102",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224408",
            "telephone_number": "912-450-0999",
            "fax_number": "912-450-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CANAL ST STE 102",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224408",
            "telephone_number": "912-450-0999",
            "fax_number": "912-450-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WEIGHT LOSS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LUDELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-344-8038"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooler Plastic Surgery LLC
• Lauren Potter
• Alexia Powell
• Myseantinique Powell
• Precision Medical Equipment, LLC
• Micah Preston
• Brittany Price
• Shannon Priest, PHARMD
• Emory Delaine Priester
• Prime Care of Georgia II LLC (Prime Care of Georgia)

• Obesity Medicine (Preventive Medicine) Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Obesity Medicine (Preventive Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.