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PREMIER GASTROENTEROLOGY, P. C.
NPI 1104835461
Specialist in Southaven, MS

Active since August 05, 2006
7900 AIRWAYS BLVD, BLDG A STE 3A, SOUTHAVEN, MS 38671(662) 349-6113(662) 349-6188 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Gastroenterology, P. C. NPPES

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

PREMIER GASTROENTEROLOGY, P. C. (NPI 1104835461) is a healthcare organization registered as a specialist in Southaven, Mississippi and active in the NPI registry since August 2006. The organization lists Tariq A. Khan, President, as its authorized official.

NPPES Registry Identity

NPI1104835461
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER GASTROENTEROLOGY, P. C.
Location Address7900 AIRWAYS BLVD, BLDG A STE 3ASouthaven, MS 38671-4113
Mailing AddressPo Box 40895Memphis, TN 38174-0895 · (662) 349-6113 · Fax (662) 349-6188
Phone(662) 349-6113
Fax(662) 349-6188
Organization SubpartNo
Authorized OfficialTariq A. KhanPresident · (662) 349-6113
Enumeration DateAugust 5, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1104835461 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.
7900 AIRWAYS BLVD, Southaven, MS 38671
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Other Identifiers 6

Medicaid09015473MS
Medicare PIN100000139MS
Other3150548TN · Blue Cross
Medicare PIN3815396TN
Other631263936EMS · Blue Cross
Medicare PIN100014658TN

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

Other Providers at the Same Location NPPES 7

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

DR. ALOK KUMAR M.D.
Obstetrics & Gynecology
7900 AIRWAYS BLVD, BLDG C SUITE 2
SOUTHAVEN, MS 38671
Desoto County (662) 349-5554
PAS OF MEMPHIS, INC.
Anesthesiology
7900 AIRWAYS BLVD, BUILDING C, SUITE 2
SOUTHAVEN, MS 38671
Desoto County (662) 349-5554
CECELIA ANNITA BROWN P.T.
Physical Therapist
7900 AIRWAYS BLVD, BLDG A, STE 2
SOUTHAVEN, MS 38671
Desoto County (662) 536-4096
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
7900 AIRWAYS BLVD, BLDG A, SUITE 2
SOUTHAVEN, MS 38671
Desoto County (662) 536-4096
PHYSIOTHERAPY ASSOCIATES
Clinic/Center (Physical Therapy)
7900 AIRWAYS BLVD, BUILDING A SUITE 2
SOUTHAVEN, MS 38671
Desoto County (662) 536-4096
ADAM WADE BURCH PTA
Physical Therapy Assistant
7900 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Desoto County (662) 807-4199
ENDOCRINE DIABETES & THYROID CENTER PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7900 AIRWAYS BLVD, STE 3A
SOUTHHAVEN, MS 38671
Desoto County (662) 655-4540

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 Gastroenterology, P. C.'s NPI number?

The NPI number for Premier Gastroenterology, P. C. is 1104835461. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Premier Gastroenterology, P. C. located?

Premier Gastroenterology, P. C. is located at 7900 Airways Blvd Bldg A Ste 3A, Southaven, MS 38671. The listed phone number is (662) 349-6113.

What is Premier Gastroenterology, P. C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Premier Gastroenterology, P. C. was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.