NPIMap

Organization Active NPI

Premier Internal Medicine PC

  • Internal Medicine Physician
  • Hickory, NC
National Provider Identifier
1689897241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700765 Issued in NC
Legal business name
PREMIER INTERNAL MEDICINE PC
Practice address
50 Cloninger Mill Rd NE
Hickory, NC 28601-7526
Phone
(828) 325-0555
Fax
(828) 267-7555
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Thomas Smith, MDNPI 1558320523
Title
Owner Physician
Phone
(828) 325-0555

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 SINGLE SPECIALTY GROUP 207R00000X 9700765 NC Primary

Addresses

Primary practice location

50 Cloninger Mill Rd NE
Hickory, NC 28601-7526

Mailing address

50 Cloninger Mill Rd NE
Hickory, NC 28601-7526
Phone (828) 325-0555

Other identifiers 1

IdentifierTypeStateIssuer
891033WMedicaidNC

National Provider Directory

National Provider Directory

Locations

50 Cloninger Mill Rd NE
Hickory, NC 28601
Phone (828) 325-0555

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689897241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CLONINGER MILL RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017526",
            "telephone_number": "828-325-0555",
            "fax_number": "828-267-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLONINGER MILL RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017526",
            "telephone_number": "828-325-0555",
            "fax_number": "828-267-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "828-325-0555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891033W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.