Premium Medical Associates Healthcare LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIUM MEDICAL ASSOCIATES HEALTHCARE LLC

Practice address

600 W College Ave
Tallahassee, FL 32306-2808

Phone

(407) 498-6934

Fax

(407) 386-7878

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lyne PierreNPI 1093055659

Title

Business Partner

Phone

(407) 860-1511

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Lyne G Pierre, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1093055659
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1841867454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 BABCOCK ST NE STE 18",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052808",
            "telephone_number": "407-498-6934",
            "fax_number": "407-386-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W COLLEGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323062808",
            "telephone_number": "407-498-6934",
            "fax_number": "407-386-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL ASSOCIATES HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "LYNE",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "407-860-1511"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health Clinic & Rehabilitation Center of Tallahassee (Ghazvini Center for Spinal Trauma)
• Premier Home Companion Services, LLC
• Premier Therapy Services
• Premier Urogynecology of Tallahassee
• Premium Medical Associates Healthcare LLC
• Presbyterian Retirement Communities, Inc. (Westminster Oaks)
• Shaneka Dionne President, LCSW
• Patsy Dianne Presley, MSW, LCSW
• Prestige Care Florida LLC
• Prestigious Transit LLC

• Multi-Specialty Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.