PREMIER CARDIOVASCULAR CARE PLLC NPI 1245625813

NPI Information

NPI: 1245625813
Provider Name: PREMIER CARDIOVASCULAR CARE PLLC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 1600 CHURCHILL DOWNS DR
WAXHAW, NC
ZIP 28173
Phone: (704) 609-7334

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NPI Details

PREMIER CARDIOVASCULAR CARE PLLC is a medical specialty clinic center in Waxhaw, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PREMIER CARDIOVASCULAR CARE PLLC NPI is 1245625813. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1600 CHURCHILL DOWNS DR
WAXHAW, NC
ZIP 28173-627
Phone: (704) 609-7334
Fax: (469) 373-3354

The provider's authorized official is David Nathaniel Smith .
The authorized official title is Md and has the following contact phone number (704) 609-7334.

The enumeration date for this NPI number is 4/1/2015 and was last updated on 11/10/2025.

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
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			No
3	261QM0850X	Clinic/Center	Adult Mental Health			No
4	261QV0200X	Clinic/Center	VA			No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
7	261QP2400X	Clinic/Center	Prison Health			No
8	261QM2500X	Clinic/Center	Medical Specialty	1837	NORTH CAROLINA	Yes

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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