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PREMIER REHAB
NPI 1790921724
Clinic/Center in Tougaloo, MS

Active since December 22, 2008
500 WEST COUNTYLINE RD, TOUGALOO, MS 39174(601) 636-6019(601) 661-8457 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Rehab NPPES

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

PREMIER REHAB (NPI 1790921724) is a healthcare organization registered as a clinic/center in Tougaloo, Mississippi and active in the NPI registry since December 2008. The organization lists Terrance D Nickens, Owner, as its authorized official.

NPPES Registry Identity

NPI1790921724
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMIER REHAB
Location Address500 WEST COUNTYLINE RDTougaloo, MS 39174
Mailing AddressPo Box 16569Jackson, MS 39236-6569 · (601) 636-6019 · Fax (601) 661-8457
Phone(601) 636-6019
Fax(601) 661-8457
Organization SubpartNo
Authorized OfficialTerrance D NickensOwner · (601) 636-6019
Enumeration DateDecember 22, 2008
✔ NPI 1790921724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
500 WEST COUNTYLINE RD, Tougaloo, MS 39174
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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 Rehab's NPI number?

The NPI number for Premier Rehab is 1790921724. It was assigned to this organization in the NPPES registry on December 22, 2008.

Where is Premier Rehab located?

Premier Rehab is located at 500 West Countyline Rd, Tougaloo, MS 39174. The listed phone number is (601) 636-6019.

What is Premier Rehab's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Premier Rehab was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.