Active NPI
Premier Medical., LLC
Doing business as Premier Wound Care & Id Specialist
- Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- PREMIER MEDICAL., LLC
- Doing business as
- Premier Wound Care & Id Specialist
- Practice address
- 250 Chateau Dr SW Ste 115
Huntsville, AL 35801-3497 - Phone
- (256) 533-4645
- Fax
- (256) 808-3178
- NPI assigned
- Apr 9, 2024
- Last updated
- Jul 8, 2024
- Organization subpart
- Yes
- Parent organization
- PREMIER MEDICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Summer Paige Slater, CRNP
- Title
- Owner
- Phone
- (256) 533-4645
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
250 Chateau Dr SW Ste 115
Huntsville, AL 35801-3497
Mailing address
250 Chateau Dr SW Ste 115
Huntsville, AL 35801-3497
Phone (256) 533-4645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188348 | Medicaid | AL |
Other names 1
- PREMIER WOUND CARE & ID SPECIALIST
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Premier Medical LLC
Locations
250 Chateau Dr SW
Ste 115
Huntsville, AL 35801
Phone (256) 533-4645
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1851375885
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.
-
- Acute Care Nurse Practitioner
- Huntsville, AL
- NPI 1043674252
-
- Infectious Disease Physician
- Huntsville, AL
- NPI 1992716120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1871346940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CHATEAU DR SW STE 115",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013497",
"telephone_number": "256-533-4645",
"fax_number": "256-808-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CHATEAU DR SW STE 115",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013497",
"telephone_number": "256-533-4645",
"fax_number": "256-808-3178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL., LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER MEDICAL",
"enumeration_date": "2024-04-09",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "SLATER",
"authorized_official_first_name": "SUMMER",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-533-4645",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188348",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMIER WOUND CARE & ID SPECIALIST",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
- Karrie Pratt, RN
- Praxis Counseling and Consulting, LLC
- Premier Family Medicine, PC
- Premier Internal Medicine Associates, PC
- Premier Leadership Academy, in
- Premier Urgent Care Inc.
- Premiere Dental LLC (Premiere Dental)
- Premise Health of Alabama Medical PC (Industrial Health Services)
- Premise Health of Alabama Medical PC (Premise Health Wellness Center)
- Premise Health of Alabama Medical PC (City of Huntsville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.