Active NPI
Premier Health & Performance
- Psychiatry Physician
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PREMIER HEALTH & PERFORMANCE
- Practice address
- 3651 Mars Hill Rd Ste 3400
Watkinsville, GA 30677-5985 - Phone
- (678) 726-2227
- NPI assigned
- Dec 29, 2021
- Last updated
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Rodriguez-Vargas
- Title
- Director
- Phone
- (678) 726-2227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3651 Mars Hill Rd Ste 3400
Watkinsville, GA 30677-5985
Mailing address
1090 Experiment Station Rd Unit 473
Watkinsville, GA 30677-5375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2317014 | Premier Health & Performance | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
230 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200
1090 Experiment Station Rd
Unit 473
Watkinsville, GA 30677
3651 Mars Hill Rd
Ste 3400
Watkinsville, GA 30677
Phone (706) 502-0503
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Adult Psychiatric/Mental Health Registered Nurse
- Watkinsville, GA
- NPI 1518951946
-
- Psychiatric/Mental Health Nurse Practitioner
- Athens, GA
- NPI 1891330296
-
- Psychiatric/Mental Health Nurse Practitioner
- Athens, GA
- NPI 1851062053
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Watkinsville, GA
- NPI 1720790538
-
- Family Nurse Practitioner
- Bogart, GA
- NPI 1528340056
-
- Psychiatric/Mental Health Nurse Practitioner
- Watkinsville, GA
- NPI 1922994789
-
- Psychiatric/Mental Health Nurse Practitioner
- Watkinsville, GA
- NPI 1801713482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1699435826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 EXPERIMENT STATION RD UNIT 473",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306775375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 MARS HILL RD STE 3400",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306775985",
"telephone_number": "678-726-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH & PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ-VARGAS",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "678-726-2227"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.