Active NPI
Premiere Online Urgent Care
- Ambulatory Fertility Facility
- Orangeburg, SC
National Provider Identifier
1932860418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Fertility Facility
- Legal business name
- PREMIERE ONLINE URGENT CARE
- Practice address
- 901 Summers Ave
Orangeburg, SC 29115-4931 - Phone
- (470) 483-2992
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharekia Dash
- Title
- Owner
- Phone
- (470) 483-2992
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 |
|---|---|---|---|---|
| Ambulatory Fertility Facility | 261QA0006X | Primary |
Addresses
Primary practice location
901 Summers Ave
Orangeburg, SC 29115-4931
Mailing address
901 Summers Ave
Orangeburg, SC 29115-4931
Phone (470) 483-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061920860 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
901 Summers Ave
Orangeburg, SC 29115
Phone (470) 483-2992
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Laboratory Technician
- Orangeburg, SC
- NPI 1942931506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650412800000",
"number": "1932860418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SUMMERS AVE",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291154931",
"telephone_number": "470-483-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SUMMERS AVE",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291154931",
"telephone_number": "470-483-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIERE ONLINE URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A",
"authorized_official_last_name": "DASH",
"authorized_official_first_name": "SHAREKIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-483-2992",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0006X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Fertility Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061920860",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
- Andreakeas K Pooler, MASTERS REHAB COUNS
- Jana D. Porter, M.S.P. , CCC-SLP
- John Pothen, MD, PHD
- Cortney Powell
- Stephen Powell, OD
- Premise Health of South Carolina Medical PC
- Meredith Shuler Prescott, PHARMD
- Prestige Home Health Care of the Midlands LLC
- Matieth Nicole Preston, LPN
- Ashley Blair Priester, CPSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.