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PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN
NPI 1043762479
Family Medicine in Eagle Mountain, UT

Active since November 02, 2016CLIA Certified · 2 labs
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005(801) 756-3511(801) 756-1705 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2022, Nov 2, 2016 (2 updates tracked since 2016).

About Premier Family Medical - Eagle Mountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN (NPI 1043762479) is a healthcare organization registered as a family medicine in Eagle Mountain, Utah and active in the NPI registry since November 2016. The organization holds 2 active CLIA laboratory certificates and lists Heather Guymon, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043762479
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER FAMILY MEDICAL - EAGLE MOUNTAIN
Location Address3943 E PONY EXPRESS PKWY STE 120Eagle Mountain, UT 84005-5543
Mailing Address3943 E Pony Express Pkwy Ste 120Eagle Mountain, UT 84005-5543 · (801) 789-5566 · Fax (801) 642-2941
Phone(801) 756-3511
Fax(801) 756-1705
Organization SubpartYesParent: Premier Family Medical
Authorized OfficialHeather GuymonCredentialing Specialist · (801) 769-2571
Enumeration DateNovember 2, 2016
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1043762479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3943 E PONY EXPRESS PKWY STE 120, Eagle Mountain, UT 84005
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2125977

Premier Family Medical-Eagle Mountain · Eagle Mountain, UT
Active · expires Feb 15, 2027
CLIA Number46D2125977
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorTroy Baker
Laboratory Phone(801) 789-5566
Laboratory LocationPremier Family Medical-Eagle Mountain3943 East Pony Express Parkway #120, Eagle Mountain, UT 84005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2324266

Premier Family Medical · Eagle Mountain, UT
Active · expires May 20, 2027
CLIA Number46D2324266
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorJared M. Roberts
Laboratory Phone(801) 789-4779
Laboratory LocationPremier Family Medical4317 N Pony Express Parkway, Suite 150, Eagle Mountain, UT 84005
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN LEE SIMMONS FNP-C
Nurse Practitioner
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-5566
CAMI JO WATT PA-C
Physician Assistant
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-5566
JARED MICHAEL ROBERTS
Family Medicine
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-5566

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 Medical - Eagle Mountain's NPI number?

The NPI number for Premier Family Medical - Eagle Mountain is 1043762479. It was assigned to this organization in the NPPES registry on November 2, 2016.

Where is Premier Family Medical - Eagle Mountain located?

Premier Family Medical - Eagle Mountain is located at 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005. The listed phone number is (801) 756-3511.

What is Premier Family Medical - Eagle Mountain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Premier Family Medical - Eagle Mountain hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Premier Family Medical - Eagle Mountain accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Premier Family Medical - Eagle Mountain 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 Medical - Eagle Mountain was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.