Premier Urgent Care – Urgent Care Clinic/Center, NPI 1831838010

Premier Urgent Care is a healthcare provider. based in Orlando, Florida. specializing in Urgent Care Clinic/Center. The NPI Number for Premier Urgent Care is 1831838010

Main info

Organization
Name
Premier Urgent Care
NPI
1831838010
Phone
(321) 332-6947
Address
6900 TAVISTOCK LAKES BLVD STE 300
Authorized Official
PENELOPE KOKKINIDES CHIEF ADMINISTRATIVE OFFICER
Enumeration Date
3 June 2022
Last Update Date
3 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Premier Urgent Care

  • 6900 TAVISTOCK LAKES BLVD STE 300

    ORLANDO, FL 328277592

    Phone: (321) 332-6947

    Fax: (407) 286-4515

    Type: Mailing

  • 1037 S STATE ROAD 7 STE 113114

    WELLINGTON, FL 334146138

    Phone: (561) 798-3030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220718002399OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32827)

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Reviews

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Frequently asked questions

Does Premier Urgent Care have a public NPI I can cite?
Public records show Premier Urgent Care under NPI 1831838010.
Is Premier Urgent Care's NPI status active today?
Active status means Premier Urgent Care's NPI record is not deactivated in the public file.
What does the directory say Premier Urgent Care does?
Insurance directories may phrase it differently, but here Premier Urgent Care maps to Urgent Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Premier Urgent Care?
Premier Urgent Care is associated with Orlando, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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