PREMIER PODIATRY LLC NPI 1851913842

NPI Information

  • NPI: 1851913842
  • Provider Name: PREMIER PODIATRY LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 5434 RIVER THAMES RD
    JACKSON, MS
    ZIP 39211
  • Phone: (662) 473-6476

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NPI Details

PREMIER PODIATRY LLC is a foot and ankle surgery podiatrist in Jackson, MS. PREMIER PODIATRY LLC NPI is 1851913842. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5434 RIVER THAMES RD
JACKSON, MS
ZIP 39211-133
Phone: (662) 473-6476
Fax: (662) 335-5872

The provider's authorized official is Carey Craig Williams .
The authorized official title is Podiatrist and has the following contact phone number (662) 473-6476.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 5/12/2020.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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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