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PREMIER CARDIOVASCULAR CARE PLLC
NPI 1245625813
Clinic/Center - Medical Specialty in Waxhaw, NC

Active since April 01, 2015
1600 CHURCHILL DOWNS DR, WAXHAW, NC 28173(704) 609-7334(469) 373-3354 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Cardiovascular Care Pllc NPPES

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

PREMIER CARDIOVASCULAR CARE PLLC (NPI 1245625813) is a healthcare organization registered as a medical specialty in Waxhaw, North Carolina and active in the NPI registry since April 2015. The organization maintains a secondary practice location in Fort Mill and lists David Nathaniel Smith, Md, as its authorized official.

NPPES Registry Identity

NPI1245625813
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePREMIER CARDIOVASCULAR CARE PLLC
Location Address1600 CHURCHILL DOWNS DRWaxhaw, NC 28173-6627
Mailing Address1600 Churchill Downs DrWaxhaw, NC 28173-6627 · (704) 609-7334 · Fax (469) 373-3354
Phone(704) 609-7334
Fax(469) 373-3354
Organization SubpartNo
Authorized OfficialDavid Nathaniel SmithMd · (704) 609-7334
Enumeration DateApril 1, 2015
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1245625813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NC · 1837
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Prison HealthTaxonomy 261QP2400X
Also ListedClinic/Center · VATaxonomy 261QV0200X
1600 CHURCHILL DOWNS DR, Waxhaw, NC 28173
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Secondary Practice Location 1

Location 12021 Bridgemill Dr Ste 102Fort Mill, SC 29707-9211 · Phone (704) 609-7334 · Fax (469) 373-3354

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Cardiovascular Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Cardiovascular Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Tremika Woodley, NP
Nurse Practitioner
NPI 1699217208
3057 FREEDOM DR
Charlotte, NC 28208
(704) 567-0790
✔ PECOS✔ Accepts Medicare18 mi
Willie Hester, M.D.
Internal Medicine
NPI 1730354002
288 S RIDGECREST AVE
Rutherfordton, NC 28139
(828) 286-5000
✔ PECOS✔ Accepts Medicare71 mi
David Smith, MD
Cardiovascular Disease (Cardiology)
NPI 1780780031
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-6674
✔ PECOS✔ Accepts Medicare81 mi

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 Cardiovascular Care PLLC's NPI number?

The NPI number for Premier Cardiovascular Care PLLC is 1245625813. It was assigned to this organization in the NPPES registry on April 1, 2015.

Where is Premier Cardiovascular Care PLLC located?

Premier Cardiovascular Care PLLC is located at 1600 Churchill Downs Dr, Waxhaw, NC 28173. The listed phone number is (704) 609-7334.

What is Premier Cardiovascular Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Premier Cardiovascular Care PLLC enrolled in Medicare?

Yes. Premier Cardiovascular Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Cardiovascular Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Premier Cardiovascular Care PLLC, in Cardiovascular Disease (Cardiology), Internal Medicine and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for Premier Cardiovascular Care PLLC was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.