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PREMIER PEDIATRIC GROUP INC.
NPI 1093922072
Specialist in Mason, OH

Active since May 17, 2007
5386 COX SMITH ROAD, SUITE A, MASON, OH 45040(513) 770-3466(513) 770-3467 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Pediatric Group Inc. NPPES

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

PREMIER PEDIATRIC GROUP INC. (NPI 1093922072) is a healthcare organization registered as a specialist in Mason, Ohio and active in the NPI registry since May 2007. The organization lists Bradley Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093922072
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER PEDIATRIC GROUP INC.
Location Address5386 COX SMITH ROAD, SUITE AMason, OH 45040
Mailing AddressPo Box 635228Cincinnati, OH 45263-0043 · (513) 770-3466 · Fax (513) 770-3467
Phone(513) 770-3466
Fax(513) 770-3467
Organization SubpartNo
Authorized OfficialBradley JacksonOwner · (513) 770-3466
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093922072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5386 COX SMITH ROAD, Mason, OH 45040
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Other Identifiers 2

Other7200478OH · Aetna For Eligability
Medicaid2426771OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Pediatric Group Inc.'s NPI number?

The NPI number for Premier Pediatric Group Inc. is 1093922072. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Premier Pediatric Group Inc. located?

Premier Pediatric Group Inc. is located at 5386 Cox Smith Road Suite A, Mason, OH 45040. The listed phone number is (513) 770-3466.

What is Premier Pediatric Group Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Premier Pediatric Group Inc. accept?

Health plans from CareSource list Premier Pediatric Group Inc. 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 Pediatric Group Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.