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PREMIERE PEDIATRICS PLLC
NPI 1124721410
Pediatrics in Longview, TX

Active since March 24, 2023CLIA 45D2280237 · Waiver
703 E MARSHALL AVE STE 4002, LONGVIEW, TX 75601(903) 315-3966(903) 230-0795 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premiere Pediatrics Pllc NPPES

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

PREMIERE PEDIATRICS PLLC (NPI 1124721410) is a healthcare organization registered as a pediatrics in Longview, Texas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Samantha Jayne Roworth-chaikin, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1124721410
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIERE PEDIATRICS PLLC
Location Address703 E MARSHALL AVE STE 4002Longview, TX 75601-5622
Mailing Address703 E Marshall Ave Ste 4002Longview, TX 75601-5622 · (903) 315-3966 · Fax (903) 230-0795
Phone(903) 315-3966
Fax(903) 230-0795
Organization SubpartNo
Authorized OfficialSamantha Jayne Roworth-chaikinPhysician Owner · (903) 315-3966
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1124721410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedNurse PractitionerTaxonomy 363L00000X
703 E MARSHALL AVE STE 4002, Longview, TX 75601
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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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 45D2280237

Premier Pediatrics · Longview, TX
Active · expires Apr 16, 2027
CLIA Number45D2280237
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorSamantha Roworth-Chaikin
Laboratory Phone(903) 315-3966
Laboratory LocationPremier Pediatrics703 E Marshall Ave Ste 4002, Longview, TX 75601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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.

MS. LINDSAY PROCELL CRNA
Nurse Anesthetist, Certified Registered
703 E MARSHALL AVE STE 4002
LONGVIEW, TX 75601
Gregg County (903) 236-2736
DR. SAMANTHA JAYNE ROWORTH-CHAIKIN DO
Pediatrics
703 E MARSHALL AVE STE 4002
LONGVIEW, TX 75601
Gregg County (903) 315-3966
KAYLI ELIZABETH ROBISON FNP
Nurse Practitioner (Family)
703 E MARSHALL AVE STE 4002
LONGVIEW, TX 75601
Gregg County (903) 315-3966

Frequently Asked Questions

What is PREMIERE PEDIATRICS PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1124721410, enumerated as an "organization" on March 24, 2023.

Where is the provider located?

The provider is located at 703 E MARSHALL AVE STE 4002 LONGVIEW, TX 75601 and the phone number is (903) 315-3966.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does PREMIERE PEDIATRICS PLLC accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.