PREMIER PEDIATRIC GROUP INC. – Specialist, NPI 1093922072

PREMIER PEDIATRIC GROUP INC. is a healthcare provider. based in Cincinnati, Ohio. specializing in Specialist. The NPI Number for PREMIER PEDIATRIC GROUP INC. is 1093922072

Main info

Organization
Name
PREMIER PEDIATRIC GROUP INC.
NPI
1093922072
Phone
(513) 770-3466
Address
PO BOX 635228
Authorized Official
DR. BRADLEY JACKSON OWNER M.D.
Enumeration Date
17 May 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for PREMIER PEDIATRIC GROUP INC.

  • PO BOX 635228

    CINCINNATI, OH 452630043

    Phone: (513) 770-3466

    Fax: (513) 770-3467

    Type: Mailing

  • 5386, Cox Smith Road, Sherwood Green, Mason, Warren County, Ohio, 45040, United States

    SUITE A

    MASON, OH 45040

    Phone: (513) 770-3466

    Fax: (513) 770-3467

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 45263)

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Reviews

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Frequently asked questions

Does PREMIER PEDIATRIC GROUP INC. have a public NPI I can cite?
Public records show PREMIER PEDIATRIC GROUP INC. under NPI 1093922072.
Does the public listing show PREMIER PEDIATRIC GROUP INC. as active?
PREMIER PEDIATRIC GROUP INC.'s NPI record reflects an active status in NPPES.
How should patients interpret PREMIER PEDIATRIC GROUP INC.'s specialty?
The extract shows Other Service Providers for PREMIER PEDIATRIC GROUP INC.. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PREMIER PEDIATRIC GROUP INC.?
PREMIER PEDIATRIC GROUP INC. is associated with Cincinnati, Ohio in the same public data insurers reference.
Can I export PREMIER PEDIATRIC GROUP INC.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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