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PREMIER PEDIATRICS OF CONNECTICUT
NPI 1922835545
Pediatrics in Windsor, CT

Active since September 17, 2024CLIA 07D2311423 · Waiver
1080 DAY HILL RD STE 103, WINDSOR, CT 06095(860) 580-5229 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2024, Sep 17, 2024 (2 updates tracked since 2024).

About Premier Pediatrics Of Connecticut NPPES

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

PREMIER PEDIATRICS OF CONNECTICUT (NPI 1922835545) is a healthcare organization registered as a pediatrics in Windsor, Connecticut and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Amma Darko, Dnp, Aprn, as its authorized official.

NPPES Registry Identity

NPI1922835545
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIER PEDIATRICS OF CONNECTICUT
Location Address1080 DAY HILL RD STE 103Windsor, CT 06095-1781
Mailing Address9 Huckleberry RdWindsor, CT 06095-1541 · (718) 431-4204
Phone(860) 580-5229
Organization SubpartNo
Authorized OfficialAmma DarkoDnp, Aprn · (718) 431-4204
Enumeration DateSeptember 17, 2024
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1922835545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1080 DAY HILL RD STE 103, Windsor, CT 06095
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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 07D2311423

Premier Pediatrics Of Connecticut · Windsor, CT
Active · expires Sep 22, 2026
CLIA Number07D2311423
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorAmma Darko-Acheampong
Laboratory Phone(718) 431-4204
Laboratory LocationPremier Pediatrics Of Connecticut1080 Dayhill Rd, Ste 103, Windsor, CT 06095
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 Pediatrics Of Connecticut's NPI number?

The NPI number for Premier Pediatrics Of Connecticut is 1922835545. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Premier Pediatrics Of Connecticut located?

Premier Pediatrics Of Connecticut is located at 1080 Day Hill Rd Ste 103, Windsor, CT 06095. The listed phone number is (860) 580-5229.

What is Premier Pediatrics Of Connecticut's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Premier Pediatrics Of Connecticut hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2311423) is associated with this NPI, valid through September 22, 2026. 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 Pediatrics Of Connecticut was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.