NPIMap

Organization Active NPI

Premier Women's Health, PLLC

Doing business as Premier Women's Health

  • Specialist
  • Gulfport, MS
National Provider Identifier
1700214426
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18054 Issued in MS
Legal business name
PREMIER WOMEN'S HEALTH, PLLC
Doing business as
Premier Women's Health
Practice address
14231 Seaway Rd
#3004
Gulfport, MS 39503-4628
Phone
(228) 206-1905
Fax
(228) 206-1917
NPI assigned
Oct 15, 2013
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Shelley Pringle
Title
Practice Manager
Phone
(228) 206-1905

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18054 MS Primary
Specialist 174400000X 13792 MS

Addresses

Primary practice location

14231 Seaway Rd
#3004
Gulfport, MS 39503-4628

Mailing address

PO Box 7353
Gulfport, MS 39506-7353

Other names 1

  • Premier Women's Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140222000013 MS Part B Supplier - Clinic/Group Practice 9133358443 Receives reassigned benefits from 11 practitioners
Practice locations: Gulfport, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2068382Premier Women's Health, PLLC14231 Seaway Road Suite 3004, Gulfport, MS 39503Provider-performed microscopyNov 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1700214426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7353",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395067353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD",
            "address_2": "#3004",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034628",
            "telephone_number": "228-206-1905",
            "fax_number": "228-206-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMEN'S HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "228-206-1905"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "18054",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "13792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.

Verify at the official NPI Registry.