Premier Wound Care PLLC
NPI 1669253894ActiveOrganization· Internal Medicine· Shelby Township, MI
Internal Medicine in Shelby Township, Michigan, registered in NPPES in October 2023. The authorized official on file is Stephanie Averitt, Administration. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669253894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2023 |
| Last updated in NPPES | Aug 25, 2026 |
| Certified by provider | Aug 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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