Healthcare Provider Details

I. General information

NPI: 1326974429
Provider Name (Legal Business Name): PREMIER DRIVING ACADEMY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1389 N CEDARBROOK AVE
SPRINGFIELD MO
65802-6803
US

IV. Provider business mailing address

2373 SHERON DR
NIXA MO
65714-6100
US

V. Phone/Fax

Practice location:
  • Phone: 417-890-1043
  • Fax:
Mailing address:
  • Phone: 417-501-4464
  • Fax: 866-591-9533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES TODD VERMILLION
Title or Position: OWNER
Credential:
Phone: 417-501-4464