Premier Choice Healthcare and Educational Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

880514 Issued in MS

Legal business name

PREMIER CHOICE HEALTHCARE AND EDUCATIONAL SERVICES

Practice address

1832 Hospital Dr
Jackson, MS 39204-3410

Phone

(214) 620-4927

NPI assigned

Apr 14, 2016

Organization subpart

No

Name

Mr. Christopher Alan Carson, FNP-CNPI 1578986915

Title

Family Nurse Practitioner

Phone

(214) 620-5860

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

• Christopher Carson, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1578986915

  MS

  Medicare reassignment NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19302/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2016.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1437503513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820472",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391820472",
            "telephone_number": "214-620-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 HOSPITAL DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043410",
            "telephone_number": "214-620-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHOICE HEALTHCARE AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-620-5860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "880514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Care Service of Ms.
• Precision Transportation Ms LLC
• Preferred PHP LLC
• Anand Prem, M.D
• Premier Choice Behavioral Health and Wellness Clinic, LLC
• Premier Elevation Health & Wellness, PLLC
• Premier Medical Group of Mississippi LLC
• Premier Medical Management of Mississippi, Inc
• Premier Pain Care, P.C.
• Premier Podiatry LLC

• All providers in Jackson, MS
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.

Verify at the official NPI Registry.