PREMIER FAMILY PRACTICE
NPI 1023779808
Nurse Practitioner - Family in Columbus, MS
About Premier Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER FAMILY PRACTICE (NPI 1023779808) is a healthcare organization registered as a family in Columbus, Mississippi and active in the NPI registry since January 2022. The organization lists James Reed Davis, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Family Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Premier Family Practice, LLC's NPI number?
The NPI number for Premier Family Practice, LLC is 1023779808. It was assigned to this organization in the NPPES registry on January 4, 2022. The provider is doing business as Premier Family Practice.
Where is Premier Family Practice, LLC located?
Premier Family Practice, LLC is located at 219 8th St N, Columbus, MS 39701. The listed phone number is (662) 610-4966.
What is Premier Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Premier Family Practice, LLC enrolled in Medicare?
Yes. Premier Family Practice, LLC is registered in the Medicare PECOS enrollment system.
When is Premier Family Practice, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premier Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premier Family Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Premier Family Practice, LLC accept?
Health plans from Molina Healthcare list Premier Family Practice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premier Family Practice, LLC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Premier Family Practice · NPI 1023779808
Family organization in Columbus, Mississippi. Organization record, active in the CMS NPPES registry since January 4, 2022.
## Identity
- **NPI:** 1023779808 (Entity type: Organization)
- **Enumerated:** January 4, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Premier Family Practice, Llc
- **Organization subpart:** No
- **Authorized official:** James Davis, DIRECTOR
## Practice location
- **Address:** 219 8TH ST N, Columbus, MS 39701-4723
- **Phone:** (662) 610-4966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023779808) · Data from the CMS NPPES public registry.