PREMIER OB/GYN
NPI 1306197132
Obstetrics & Gynecology in Annapolis, MD

Q: What is Luminis Health Medical Group, LLC's NPI number?

The NPI number for Luminis Health Medical Group, LLC is 1306197132. It was assigned to this organization in the NPPES registry on September 19, 2012. The provider is doing business as Premier Ob/Gyn.

Q: What is Luminis Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since September 19, 2012CLIA 21D1011289 · Waiver

2000 MEDICAL PKWY STE 309, ANNAPOLIS, MD 21401(301) 352-4007 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Dec 12, 2018 (2 updates tracked since 2018).

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About Premier Ob/gyn NPPES

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

PREMIER OB/GYN (NPI 1306197132) is a healthcare organization registered as an obstetrics & gynecology in Annapolis, Maryland and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Jeannette Wood, Exec. Dir. Physician Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1306197132

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC

Location Address2000 MEDICAL PKWY STE 309Annapolis, MD 21401-3745

Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6467 · Fax (443) 481-6515

Phone(301) 352-4007

Organization SubpartNo

Authorized OfficialJeannette WoodExec. Dir. Physician Reimbursement · (443) 481-6476

Enumeration DateSeptember 19, 2012

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

NPPES CertifiedMay 24, 2021

✔ NPI 1306197132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2000 MEDICAL PKWY STE 309, Annapolis, MD 21401

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Other Names 1

Doing Business AsPremier Ob/gyn

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

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 21D1011289

Premier Ob/Gyn · Bowie, MD

Active · expires Jan 30, 2028

CLIA Number21D1011289

Laboratory TypePhysician Office

Certificate Effective DateJanuary 31, 2026

Certificate Expiration DateJanuary 30, 2028

Laboratory DirectorDebora Whitehurst-Brown MD

Laboratory Phone(301) 352-4007

Laboratory LocationPremier Ob/Gyn4175 N Hanson Court Ste 209, Bowie, MD 20716

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DEREK BALLAS D.O.

Obstetrics & Gynecology