Organization Active NPI

Premier Medical Clinic

  • Internal Medicine Physician
  • Greenville, MS
National Provider Identifier
1508051103
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14161 Issued in MS
Legal business name
PREMIER MEDICAL CLINIC
Practice address
1504 Hospital St
Greenville, MS 38703-3219
Phone
(662) 378-9929
Fax
(662) 378-9926
NPI assigned
Sep 7, 2007
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Parvez Karim, MDNPI 1275562464
Title
MD/Owner
Phone
(662) 378-9929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 14161 MS Primary

Addresses

Primary practice location

1504 Hospital St
Greenville, MS 38703-3219

Mailing address

PO Box 4577
Greenville, MS 38704-4577
Phone (662) 378-9929

National Provider Directory

National Provider Directory

Locations

1504 Hospital St
Greenville, MS 38703
Phone (662) 378-9929

Interoperability endpoints

  • Direct secure messaging: genevacurry@pmcpk.allscriptsdirect.net
  • Direct secure messaging: parvezkarim@pmcpk.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1508051103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044577",
            "telephone_number": "662-378-9929",
            "fax_number": "662-378-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HOSPITAL ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033219",
            "telephone_number": "662-378-9929",
            "fax_number": "662-378-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "PARVEZ",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "662-378-9929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.