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

Premier Rehab

Organization Clinic/Center · NPI 1790921724

Premier Rehab is a Clinic/Center in Tougaloo, Mississippi. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

500 W Countyline Rd
Tougaloo, MS 39174
Phone: (601) 636-6019
Fax: (601) 661-8457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1790921724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrance Nickens — Owner · (601) 636-6019
NPI enumeratedDecember 22, 2008
Last updated in NPPESDecember 22, 2008
Mailing addressPo Box 16569, Jackson, MS 39236-6569