PREMIER MEDICAL
NPI 1992276091
Family Medicine in North Charleston, SC

Active since December 16, 2018CLIA Certified · 2 labs
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406(843) 225-2374(843) 459-1923 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2022, Jul 27, 2021, Dec 16, 2018 (3 updates tracked since 2018).

About Premier Medical NPPES

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

PREMIER MEDICAL (NPI 1992276091) is a healthcare organization registered as a family medicine in North Charleston, South Carolina and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Charleston, and lists Karey Breen, Md, as its authorized official.

NPPES Registry Identity

NPI1992276091
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER MEDICAL OF SC LLC
Location Address5880 RIVERS AVENorth Charleston, SC 29406-6053
Mailing Address354 Folly Rd Ste 5Charleston, SC 29412-2594 · (843) 225-2374
Fax(843) 459-1923
Organization SubpartNo
Authorized OfficialKarey BreenMd · (843) 225-2374
Enumeration DateDecember 16, 2018
Last NPPES UpdateMay 10, 20223 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1992276091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5880 RIVERS AVE, North Charleston, SC 29406

Other Names 1

Doing Business AsPremier Medical

Secondary Practice Location 1

Location 1354 Folly Rd Ste 5Charleston, SC 29412-2594 · Phone (843) 225-2374

Other Identifiers 2

MedicaidGP9928SC
MedicaidPG0752SC

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1154582047
5880 RIVERS AVE
North Charleston, SC 29406
(843) 225-2374
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346737673
316 CALHOUN ST
Charleston, SC 29401
(843) 720-8490
✔ PECOS9.1 mi
Emergency Medicine
NPI 1134169808
401 NORTH LIVE OAK DRIVE
Moncks Corner, SC 29461
(843) 761-8721
✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 42D2228315

Premier Medical Of Sc · North Charleston, SC
Active · expires Jun 23, 2027
CLIA Number42D2228315
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDr. L Karey Breen
Laboratory Phone(843) 225-2374
Laboratory LocationPremier Medical Of Sc5880 Rivers Ave, North Charleston, SC 29406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2164828

Premier Medical Of Sc · Charleston, SC
Active · expires Apr 14, 2027
CLIA Number42D2164828
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorKaren Breen
Laboratory Phone(843) 225-2374
Laboratory LocationPremier Medical Of Sc354 Folly Rd Suite 5, Charleston, SC 29412
CLIA data matches this NPI record on: Address 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 Medical Of Sc LLC's NPI number?

The NPI number for Premier Medical Of Sc LLC is 1992276091. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Premier Medical.

Where is Premier Medical Of Sc LLC located?

Premier Medical Of Sc LLC is located at 5880 Rivers Ave, North Charleston, SC 29406. The listed phone number is (843) 225-2374.

What is Premier Medical Of Sc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Premier Medical Of Sc LLC enrolled in Medicare?

Yes. Premier Medical Of Sc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Medical Of Sc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Premier Medical Of Sc LLC, in Emergency Medicine, Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Medical Of Sc LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Premier Medical Of Sc LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Premier Medical Of Sc 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 Medical Of Sc LLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.