Premier Physicians, PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

PREMIER PHYSICIANS, PC

Practice address

1357 Walter Reed Rd
Ste #102
Fayetteville, NC 28304

Phone

(910) 221-3017

Fax

(910) 221-3018

NPI assigned

Aug 18, 2006

Last updated

May 10, 2011By 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

Ms. Rebecca S. Tat, D.O.NPI 1154380798

Title

Physician Secretary

Phone

(910) 221-3017

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Premier Infectious Diseases, PC Former legal business name

Locations

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.

• Rebecca S Tat, DO

  • Neurology Physician
  • Greensboro, NC
  • NPI 1154380798
  NPD (past) Authorized official
• David Tat, DO

  • Infectious Disease Physician
  • Fayetteville, NC
  • NPI 1013976646
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1639283567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044416",
            "telephone_number": "910-221-3017",
            "fax_number": "910-221-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD",
            "address_2": "STE #102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-221-3017",
            "fax_number": "910-221-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "TAT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN SECRETARY",
        "authorized_official_telephone_number": "910-221-3017",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016CX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016CX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Infectious Diseases, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Premier Women's Care PLLC
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• Akira Prescott
• Dayton Preslar, DO
• Prestige Care Services

• Infectious Disease Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.