Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Pediatrics of Indiana LLC

Organization Pediatrics Physician · NPI 1760084156

Premier Pediatrics of Indiana LLC is a Pediatrics Physician 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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