MEDICARE: PREMIER CHOICE HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1689501751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER CHOICE HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	3940 CRUSADER CT
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31605-6908
Country	:	US
Telephone Number	:	229-300-4365
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 W HILL AVE
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5204
Country	:	US
Telephone Number	:	229-300-4365
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	CHELSEA B WILLIAMS
Credential	:	LPN
Telephone Number	:	229-300-4365

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	06/05/2026

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