Premier Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIER PODIATRY LLC

Practice address

5434 River Thames Rd
Jackson, MS 39211-4133

Phone

(662) 473-6476

Fax

(662) 335-5872

NPI assigned

May 12, 2020

Last updated

May 12, 2020By 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

Dr. Carey Craig Williams, DPM

Title

Podiatrist

Phone

(662) 473-6476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1851913842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 RIVER THAMES RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114133",
            "telephone_number": "662-473-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5434 RIVER THAMES RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114133",
            "telephone_number": "662-473-6476",
            "fax_number": "662-335-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "662-473-6476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Choice Healthcare and Educational Services
• Premier Elevation Health & Wellness, PLLC
• Premier Medical Group of Mississippi LLC (Jackson Medical Clinic LLC)
• Premier Medical Management of Mississippi, Inc
• Premier Pain Care, P.C.
• Premier Rehab
• Premise Health of Mississippi Medical PC (Mississippi Farm Bureau - Jackson)
• Marcus Andrew Presley, M.D.
• Sara Marie Presley, MSN, NNP-BC
• Aren Worrell Presnall

• Foot & Ankle Surgery Podiatrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Foot & Ankle Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.