Organization Active NPI

Premiere Neurology PC

  • Neurology Physician
  • Warner Robins, GA
National Provider Identifier
1558699462
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
047355 Issued in GA
Legal business name
PREMIERE NEUROLOGY PC
Practice address
1558 Watson Blvd
Warner Robins, GA 31093-3432
Phone
(478) 922-6140
Fax
(478) 922-6141
NPI assigned
Dec 4, 2009
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Prem S. Parihar, M.D.
Title
Owner / Physician
Phone
(478) 953-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 047355 GA Primary

Addresses

Primary practice location

1558 Watson Blvd
Warner Robins, GA 31093-3432

Mailing address

1558 Watson Blvd
Warner Robins, GA 31093-3432
Phone (478) 922-6140

Other identifiers 1

IdentifierTypeStateIssuer
000855148BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1558699462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933432",
            "telephone_number": "478-922-6140",
            "fax_number": "478-922-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933432",
            "telephone_number": "478-922-6140",
            "fax_number": "478-922-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "PARIHAR",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "478-953-5340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "047355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000855148B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.