Organization Active NPI

Premier Internal Medicine, LLC

  • Internal Medicine Physician
  • North Charleston, SC
National Provider Identifier
1801831094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23155 Issued in SC
Legal business name
PREMIER INTERNAL MEDICINE, LLC
Practice address
9217 University Blvd
Suite C-1-D
North Charleston, SC 29406-9147
Phone
(843) 797-1716
Fax
(843) 797-1964
NPI assigned
Jun 19, 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
Morgan A Lowry, MDNPI 1194791087
Title
Owner/Manager
Phone
(843) 797-1716

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 Physician 207R00000X 23155 SC Primary

Addresses

Primary practice location

9217 University Blvd
Suite C-1-D
North Charleston, SC 29406-9147

Mailing address

9217 University Blvd
Suite C-1-D
North Charleston, SC 29406-9147
Phone (843) 797-1716

Other identifiers 1

IdentifierTypeStateIssuer
T75406MedicaidSC

National Provider Directory

National Provider Directory

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801831094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 UNIVERSITY BLVD",
            "address_2": "SUITE C-1-D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069147",
            "telephone_number": "843-797-1716",
            "fax_number": "843-797-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 UNIVERSITY BLVD",
            "address_2": "SUITE C-1-D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069147",
            "telephone_number": "843-797-1716",
            "fax_number": "843-797-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "843-797-1716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T75406",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

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.