Premiere Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIERE FAMILY PRACTICE

Practice address

1904 Grant Ave Ste G
Jonesboro, AR 72401-6165

Phone

(870) 243-4136

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Carolyn Coleman, NURSE PRACTITIONERNPI 1407388267

Title

Owner

Phone

(870) 493-3007

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23003/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Coleman, FNP

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1407388267
  Medicare reassignment NPD Authorized official
• Elham A Armah, FNP-BC

  • Nurse Practitioner
  • Jonesboro, AR
  • NPI 1851718381
  Medicare reassignment NPD
• Gregory Szych, DO

  • Gastroenterology Physician
  • Herrin, IL
  • NPI 1841268521

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1932708641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 GRANT AVE STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016165",
            "telephone_number": "870-493-3007",
            "fax_number": "870-330-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GRANT AVE STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016165",
            "telephone_number": "870-243-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-493-3007",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jonesboro",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1904 Grant Ave Ste G",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jonesboro",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1904 Grant Ave Ste G",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jonesboro",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1904 Grant Ave Ste G",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jonesboro",
            "affiliation": "N",
            "address_1": "1904 Grant Ave Ste G",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mackenzie N Powers, OTT
• Pamela Powers
• Yasmine Prater
• Andie Pratt, M.S. CF-SLP
• Taelor Lyn Predmore, OT
• Prescription Lens, Inc.
• Emmett A Presley, LCSW, DCSW, MSWAC
• Sarah L Presley, LPN
• Lisa Marie Pressnell, MSN-APN
• Graceon Prestidge

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.