Premier Internal Medicine Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER INTERNAL MEDICINE ASSOCIATES, PC

Practice address

420 Lowell Dr SE
Suite 302
Huntsville, AL 35801-3754

Phone

(256) 265-1910

Fax

(256) 265-1911

NPI assigned

Jun 30, 2014

Organization subpart

No

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

Authorized official

Name

Kristine Pigg

Title

Credentialing Specialist

Phone

(256) 519-8272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22966/brand/1/csg/1/fhir/r4

Practitioners 7

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

• Zia U Hassan, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1841216827
  Medicare reassignment NPD
• Octavia Alexandria Russell, CRNP

  • Adult Health Nurse Practitioner
  • Huntsville, AL
  • NPI 1306643226
  Medicare reassignment NPD
• Amy Schiffman

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1326613183
  Medicare reassignment NPD
• Kaitlyn Wendolowski, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1033728100
  Medicare reassignment NPD
• Lauren Belle Goldsmith, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1265132781
  NPD
• Sohee Kim, CRNP

  • Primary Care Nurse Practitioner
  • Huntsville, AL
  • NPI 1912752395
  NPD (past)
• Meredith Stilb Pols, CRNP

  • Primary Care Nurse Practitioner
  • Huntsville, AL
  • NPI 1235594953
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1437564200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE",
            "address_2": "SUITE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013754",
            "telephone_number": "256-265-1910",
            "fax_number": "256-265-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE",
            "address_2": "SUITE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013754",
            "telephone_number": "256-265-1910",
            "fax_number": "256-265-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "PIGG",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "256-519-8272"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Powers, CRNP
• Julian Kent Powers, M.D.
• Karrie Pratt, RN
• Praxis Counseling and Consulting, LLC
• Premier Family Medicine, PC
• Premier Leadership Academy, in
• Premier Medical., LLC (Premier Wound Care & Id Specialist)
• Premier Urgent Care Inc.
• Premiere Dental LLC (Premiere Dental)
• Premise Health of Alabama Medical PC (Industrial Health Services)

• Internal Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.