Provider Demographics
NPI:1699581181
Name:PREMIER PRIMARY CARE LLC
Entity type:Organization
Organization Name:PREMIER PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:864-376-1599
Mailing Address - Street 1:128 MILLPORT CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5573
Mailing Address - Country:US
Mailing Address - Phone:864-376-1599
Mailing Address - Fax:864-448-1636
Practice Address - Street 1:128 MILLPORT CIRCLE
Practice Address - Street 2:SUITE 200 PMB 8033
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-376-1599
Practice Address - Fax:864-448-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty