NPIMap

Organization Active NPI

Premium Medical Care,LLC

  • Legal Medicine
  • Atlanta, GA
National Provider Identifier
1700974631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
119338LGB Issued in GA
Legal business name
PREMIUM MEDICAL CARE,LLC
Doing business as
Premium Medical Care,LLC
Practice address
233 Mitchell St SW
Suite 300
Atlanta, GA 30303-3304
Phone
(404) 437-7741
Fax
(404) 474-3089
NPI assigned
Oct 10, 2006
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
Mr. Kareem A Myers
Title
Director of Operations
Phone
(404) 474-1698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 119338LGB GA Primary

Addresses

Primary practice location

233 Mitchell St SW
Suite 300
Atlanta, GA 30303-3304

Mailing address

233 Mitchell St SW
Suite 300
Atlanta, GA 30303-3304
Phone (404) 437-7741

Other names 1

  • Premium Medical Care,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

233 Mitchell St SW
Ste 300
Atlanta, GA 30303
Phone (404) 437-7741

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700974631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MITCHELL ST SW",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033304",
            "telephone_number": "404-437-7741",
            "fax_number": "404-474-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MITCHELL ST SW",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033304",
            "telephone_number": "404-437-7741",
            "fax_number": "404-474-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "404-474-1698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "119338LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Medical Care,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

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.