OrganizationActive
Premier Gastroenterology, P. C.
NPI 1104835461 · Specialist · Southaven, MS
Premier Gastroenterology, P. C. is a Specialist organization in Southaven, MS (NPI 1104835461).
Provider details
- NPI number
- 1104835461
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tariq Khan, President(662) 349-6113
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7900 Airways Blvd
Bldg a Ste 3a
Southaven, MS 38671-4113
Phone: (662) 349-6113
Fax: (662) 349-6188
Street-level locationGet directions
Mailing address
Po Box 40895
Memphis, TN 38174-0895
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2008-05-07
Frequently asked questions
- What is Premier Gastroenterology, P. C.'s NPI number?
- Premier Gastroenterology, P. C.'s National Provider Identifier (NPI) is 1104835461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Gastroenterology, P. C.?
- Premier Gastroenterology, P. C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Premier Gastroenterology, P. C. located?
- Premier Gastroenterology, P. C.'s practice location on file with NPPES is 7900 Airways Blvd, Southaven, MS 38671-4113.
- What is Premier Gastroenterology, P. C.'s phone number?
- The practice phone number listed in the NPPES registry for Premier Gastroenterology, P. C. is (662) 349-6113.
- Who is the authorized official for Premier Gastroenterology, P. C.?
- The authorized official listed on Premier Gastroenterology, P. C.'s NPPES record is Tariq Khan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Gastroenterology, P. C.'s NPI active?
- Yes — Premier Gastroenterology, P. C.'s NPI (1104835461) is active in the NPPES registry as of the last update on 2008-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.