| Premier Health & Performance | |
|
3651 Mars Hill Rd Ste 3400 Watkinsville GA 30677-5985 | |
| (678) 726-2227 | |
| Not Available |
| Full Name | Premier Health & Performance |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3651 Mars Hill Rd Ste 3400, Watkinsville, Georgia |
| Authorized Official Name and Position | Maria Rodriguez-vargas (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6787262227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health & Performance 1090 Experiment Station Rd Unit 473 Watkinsville GA 30677-5375 Ph: () - | Premier Health & Performance 3651 Mars Hill Rd Ste 3400 Watkinsville GA 30677-5985 Ph: (678) 726-2227 |
| NPI Number | 1699435826 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 7719374693 |
|---|---|
| Medicare Enrollment ID | O20220422001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699435826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Laura M Duncan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518951946 PECOS PAC ID: 5991717704 Enrollment ID: I20060619000057 |
| Provider Name | David Paulk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336106475 PECOS PAC ID: 5395041412 Enrollment ID: I20160923000366 |
| Provider Name | Elizabeth Laird Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062053 PECOS PAC ID: 4082001789 Enrollment ID: I20220427002976 |
| Provider Name | Robert Michael Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891330296 PECOS PAC ID: 7911386065 Enrollment ID: I20220620001346 |
| Provider Name | Denise Renee Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720790538 PECOS PAC ID: 4183083702 Enrollment ID: I20230629002728 |
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