Organization Active NPI

Premiere Care LLC

  • Internal Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1972347086
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIERE CARE LLC
Practice address
501 Ves Rd
Lynchburg, VA 24503-4638
Phone
(434) 386-3540
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Archibald LordNPI 1427048446
Title
Mr.
Phone
(434) 942-5463

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

501 Ves Rd
Lynchburg, VA 24503-4638

Mailing address

1545 Lejack Cir
Forest, VA 24551-1267
Phone (434) 942-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823002672 VA Part B Supplier - Clinic/Group Practice 5597204362 Receives reassigned benefits from 3 practitioners
Practice locations: Forest, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1972347086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LEJACK CIR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511267",
            "telephone_number": "434-942-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VES RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245034638",
            "telephone_number": "434-386-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "ARCHIBALD",
        "authorized_official_title_or_position": "MR.",
        "authorized_official_telephone_number": "434-942-5463"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.