PREMIER MEDICAL CLINIC OF GREENVILLE PC
NPI 1568800688
Clinic/Center in Greenville, MS
NPI Status: Active since June 11, 2013
Contact Information
1504 HOSPITAL ST
GREENVILLE, MS
ZIP 38703
Phone: (662) 378-9929
Fax: (662) 378-9926
- Organization
- Clinic/Center
- Accepts Insurance
About PREMIER MEDICAL CLINIC OF GREENVILLE PC
This page provides the complete NPI Profile along with additional information for Premier Medical Clinic Of Greenville Pc, a provider established in Greenville, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568800688 assigned on June 2013. The practitioner's primary taxonomy code is 261Q00000X with license number 14161 (MS). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Katherine Colbert Cpc (Business Manager)
- NPI
- 1568800688
- Provider Name
- PREMIER MEDICAL CLINIC OF GREENVILLE PC
- Entity Type
- Organization
- Location Address
- 1504 HOSPITAL ST GREENVILLE, MS 38703
- Location Phone
- (662) 378-9929
- Location Fax
- (662) 378-9926
- Mailing Address
- PO BOX 4577 GREENVILLE, MS 38704
- Mailing Phone
- (662) 332-8848
- Mailing Fax
- (662) 378-9926
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2013
- Last Update Date
- 06-11-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 14161
- License State
- MS
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00114839 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 8 | 0 | 0 | 6 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 16 | 0 | 0 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 6 + 0 + 0 + 6 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1568800688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508051103 | PREMIER MEDICAL CLINIC Organization | Internal Medicine | 1504 HOSPITAL ST GREENVILLE, MS 38703 (662) 378-9929 |
| 1275562464 | DR. PARVEZ KARIM M.D. Individual | Internal Medicine | 1504 HOSPITAL ST GREENVILLE, MS 38703 (662) 378-9929 |
| 1861050437 | MRS. BOBBIE KAY JOHNSON MSN, NP-C Individual | Nurse Practitioner (Family) | 1504 HOSPITAL ST GREENVILLE, MS 38703 (662) 378-9929 |
| 1568002145 | SHARRON SHONET MOORE FNP-BC Individual | Nurse Practitioner | 1504 HOSPITAL ST GREENVILLE, MS 38703 (662) 378-9929 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568800688, enumerated in the NPI registry as an "organization" on June 11, 2013
The provider is located at 1504 Hospital St Greenville, Ms 38703 and the phone number is (662) 378-9929
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 11, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.