Premier Medical Inc

Debarred entity

United States. Named in 6 sanctions listings.

Summary

License number: N/A

Sanctions and listings6

Effective
25 Mar 2024
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
Violation of KMAP Policy
chfs.ky.gov
Listed
11 Apr 2025
Effective
8 Apr 2025
Official designation
Nebraska Department of Health and Human ServicesUS Nebraska Medicaid Sanctioned ProvidersUnited States
TM-Termination
VN-Violation of NMAP Policy
dhhs.ne.gov
Effective
19 Jan 2025
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
CMS Revocation
adverseactions.ldh.la.gov
Effective
19 Dec 2024
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
Terminated under a separate Medicare Enrollment
wvmmis.com
Effective
15 Nov 2024
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
scdhhs.gov
Effective
15 Nov 2024
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Exclusion by Other Agencies or Programs
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1689971822

Other names3

Also known as3

Premier Medical Inc.Premier Medical, Inc.Premier Medical

Addresses3

6000 Pelham Road Suite A
Greenville, SC 29615
6000 Pelham Rd, Greenville, SC 29615

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