Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premier Pediatrics of Indiana LLC

Organization Pediatrics Physician · NPI 1760084156

Premier Pediatrics of Indiana LLC provides Pediatrics Physician services in Granger, Indiana. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

229 Florence Ave Ste 233
Granger, IN 46530-8048
Phone: (574) 855-4575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1760084156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charisse Johnson — Sole Proprietor · (317) 345-3142
NPI enumeratedNovember 11, 2020
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address229 Florence Ave Ste 233, Granger, IN 46530-8048

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