Active NPI
Premier Imaging Group, P.a.
- Radiology Clinic/Center
- Charlotte, NC
National Provider Identifier
1730073149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- PREMIER IMAGING GROUP, P.A.
- Practice address
- 1300 South Blvd Ste 30018
Charlotte, NC 28203-4280 - Phone
- (843) 212-9397
- NPI assigned
- Jun 9, 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
- Jeffrey Waronker
- Title
- Managing Director
- Phone
- (617) 586-2299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
1300 South Blvd Ste 30018
Charlotte, NC 28203-4280
Mailing address
1300 South Blvd Ste 30018
Charlotte, NC 28203-4280
National Provider Directory
National Provider DirectoryLocations
1300 South Blvd
Ste 30018
Charlotte, NC 28203
Phone (843) 212-9397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749427200000",
"number": "1730073149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SOUTH BLVD STE 30018",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SOUTH BLVD STE 30018",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034280",
"telephone_number": "843-212-9397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER IMAGING GROUP, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "WARONKER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "617-586-2299"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Premier Community Associates, Inc.
- Premier Gynecology & Wellness, PLLC
- Premier Healthcare Staffing, LLC
- Premier Home Health Care Services, Inc.
- Premier Home Health Care Services, Inc.
- Premier Nursing Staffing Agency LLC
- Premier Pharmacy and Wellness Center LLC
- Premier Pharmacy and Wellness Center LLC
- Premier Sleep and Neurology
- Premier Sleep Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.