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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PREMIER LEGACY HEALTH, LLC
NPI 1396685301
Family Medicine - Adult Medicine in Ardmore, AL

Active since March 30, 2026CLIA 01D2342393 · Waiver
29976 1ST AVE E, ARDMORE, AL 35739(256) 541-5394 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Premier Legacy Health, Llc NPPES

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

PREMIER LEGACY HEALTH, LLC (NPI 1396685301) is a healthcare organization registered as an adult medicine in Ardmore, Alabama and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists James E Mckinley, Owner, as its authorized official.

NPPES Registry Identity

NPI1396685301
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePREMIER LEGACY HEALTH, LLC
Location Address29976 1ST AVE EArdmore, AL 35739-8106
Mailing Address29976 1st Ave EArdmore, AL 35739-8106 · (256) 434-1731
Phone(256) 541-5394
Organization SubpartNo
Authorized OfficialJames E MckinleyOwner · (256) 541-5394
Enumeration DateMarch 30, 2026
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1396685301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
29976 1ST AVE E, Ardmore, AL 35739
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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 01D2342393

Premier Legacy Health, LLC · Ardmore, AL
Active · expires Apr 19, 2028
CLIA Number01D2342393
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorJames E. Mckinley
Laboratory Phone(256) 541-5394
Laboratory LocationPremier Legacy Health, LLC28301 Lambert Road, Ardmore, AL 35739
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Legacy Health, LLC's NPI number?

The NPI number for Premier Legacy Health, LLC is 1396685301. It was assigned to this organization in the NPPES registry on March 30, 2026.

Where is Premier Legacy Health, LLC located?

Premier Legacy Health, LLC is located at 29976 1st Ave E, Ardmore, AL 35739. The listed phone number is (256) 541-5394.

What is Premier Legacy Health, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Premier Legacy Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2342393) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Legacy Health, LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.