Priority One Medical Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIORITY ONE MEDICAL CARE LLC

Doing business as

Stephanie R. Wilder PA-C

Practice address

313 E Florida Ave
Union City, TN 38261-3957

Phone

(731) 599-0261

Fax

(986) 786-5149

NPI assigned

Jul 24, 2018

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Danielle Keller, PA-CNPI 1366098436

Title

Certified Physician Assistant

Phone

(731) 599-0261

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie R. Wilder PA-C Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Keller, PA-C

  • Physician Assistant
  • Union City, TN
  • NPI 1366098436
  NPD Authorized official
• Stephanie Rachel Wilder, PA-C

  • Physician Assistant
  • Union City, TN
  • NPI 1437177631
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1104303924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E FLORIDA AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613957",
            "telephone_number": "731-599-0261",
            "fax_number": "986-786-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E FLORIDA AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613957",
            "telephone_number": "731-599-0261",
            "fax_number": "986-786-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY ONE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CERTIFIED PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "731-599-0261",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366098436",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie R. Wilder PA-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Union City, TN
• Providers in Union City, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.