OrganizationActive
Premier Rehab
NPI 1790921724 · Clinic/Center · Tougaloo, MS
Premier Rehab is a Clinic/Center organization in Tougaloo, MS (NPI 1790921724).
Provider details
- NPI number
- 1790921724
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terrance Nickens, Owner(601) 636-6019
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
500 West Countyline Rd
Tougaloo, MS 39174
Phone: (601) 636-6019
Fax: (601) 661-8457
Street-level locationGet directions
Mailing address
Po Box 16569
Jackson, MS 39236-6569
Registry dates
- Enumerated
- 2008-12-22
- Last updated
- 2008-12-22
Frequently asked questions
- What is Premier Rehab's NPI number?
- Premier Rehab's National Provider Identifier (NPI) is 1790921724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Rehab?
- Premier Rehab is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premier Rehab located?
- Premier Rehab's practice location on file with NPPES is 500 West Countyline Rd, Tougaloo, MS 39174.
- What is Premier Rehab's phone number?
- The practice phone number listed in the NPPES registry for Premier Rehab is (601) 636-6019.
- Who is the authorized official for Premier Rehab?
- The authorized official listed on Premier Rehab's NPPES record is Terrance Nickens, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Rehab's NPI active?
- Yes — Premier Rehab's NPI (1790921724) is active in the NPPES registry as of the last update on 2008-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.