Premiere Pediatrics PLLC
NPI 1124721410 · Pediatrics Physician · Longview, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premiere Pediatrics PLLC is a Pediatrics Physician organization in Longview, TX (NPI 1124721410).
Provider details
- NPI number
- 1124721410
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samantha Roworth-Chaikin, Physician Owner(903) 315-3966
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Frequently asked questions
- What is Premiere Pediatrics PLLC's NPI number?
- Premiere Pediatrics PLLC's National Provider Identifier (NPI) is 1124721410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premiere Pediatrics PLLC?
- Premiere Pediatrics PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Premiere Pediatrics PLLC located?
- Premiere Pediatrics PLLC's practice location on file with NPPES is 703 E Marshall Ave Ste 4002, Longview, TX 75601-5622.
- What is Premiere Pediatrics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Premiere Pediatrics PLLC is (903) 315-3966.
- Does Premiere Pediatrics PLLC accept Medicare?
- Premiere Pediatrics PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premiere Pediatrics PLLC?
- The authorized official listed on Premiere Pediatrics PLLC's NPPES record is Samantha Roworth-Chaikin, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premiere Pediatrics PLLC's NPI active?
- Yes — Premiere Pediatrics PLLC's NPI (1124721410) is active in the NPPES registry as of the last update on 2023-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.