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PREMIER OBGYN LLC
NPI 1487035382
Obstetrics & Gynecology in Phoenix, AZ

Active since June 16, 2015CLIA 03D2283513 · Waiver
1300 N 12TH ST STE 620, PHOENIX, AZ 85006(602) 283-3668(833) 471-4328 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Apr 9, 2024, Sep 5, 2019 and 1 more (4 updates tracked since 2019).

About Premier Obgyn Llc NPPES

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

PREMIER OBGYN LLC (NPI 1487035382) is a healthcare organization registered as an obstetrics & gynecology in Phoenix, Arizona and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Michael J Hervey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487035382
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePREMIER OBGYN LLC
Location Address1300 N 12TH ST STE 620Phoenix, AZ 85006-2850
Mailing AddressPo Box 33648Belfast, ME 04915-0614 · (602) 283-3668
Phone(602) 283-3668
Fax(833) 471-4328
Organization SubpartNo
Authorized OfficialMichael J HerveyCeo · (602) 283-3668
Enumeration DateJune 16, 2015
Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1487035382 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.
1300 N 12TH ST STE 620, Phoenix, AZ 85006
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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.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 03D2283513

Premier Obgyn, LLC · Phoenix, AZ
Active · expires Jun 7, 2027
CLIA Number03D2283513
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorMichael J. Hervery II
Laboratory Phone(602) 283-3668
Laboratory LocationPremier Obgyn, LLC1300 N 12th St Ste 620, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

JENASEE LORETTA SOUTH
Advanced Practice Midwife
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668
EMILY CAMPER
Nurse Practitioner (Family)
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668
MAKENZIE BAILEY CNM, WHNP-BC
Advanced Practice Midwife
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668
PREMIER MENTAL HEALTH SERVICES
Counselor (Mental Health)
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668
DR. MICHELLE MAMARIL DAVIS DNP, CNM
Advanced Practice Midwife
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668
MR. MONTE G. MERRELL M.D.
Obstetrics & Gynecology
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668
ACCESS FOR HER FOUNDATION
Advanced Practice Midwife
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 326-3391
WHITNEY MICHELLE O'BRIEN CNM
Advanced Practice Midwife
1300 N 12TH ST STE 620
PHOENIX, AZ 85006
Maricopa County (602) 283-3668

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 Obgyn LLC's NPI number?

The NPI number for Premier Obgyn LLC is 1487035382. It was assigned to this organization in the NPPES registry on June 16, 2015.

Where is Premier Obgyn LLC located?

Premier Obgyn LLC is located at 1300 N 12th St Ste 620, Phoenix, AZ 85006. The listed phone number is (602) 283-3668.

What is Premier Obgyn LLC's specialty?

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

Does Premier Obgyn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2283513) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Obgyn LLC accept?

Health plans from Ambetter from Arizona Complete Health list Premier Obgyn LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Obgyn LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.