PREMIER FAMILY PRACTICE LLC NPI 1023779808

NPI Information

  • NPI: 1023779808
  • Provider Name: PREMIER FAMILY PRACTICE, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: PREMIER FAMILY PRACTICE
  • CLIA Number: 25D2249248
  • Address: 219 8TH ST N
    COLUMBUS, MS
    ZIP 39701
  • Phone: (662) 610-4966

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NPI Details

PREMIER FAMILY PRACTICE, LLC is a family nurse practitioner in Columbus, MS. PREMIER FAMILY PRACTICE, LLC NPI is 1023779808. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Premier Family Practice.

The provider's business location address is:

219 8TH ST N
COLUMBUS, MS
ZIP 39701-723
Phone: (662) 610-4966

The provider's authorized official is James Reed Davis .
The authorized official title is Director and has the following contact phone number (662) 573-4800.

The CLIA number assigned to this NPI record is 25D2249248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2022 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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