TN Premier Care LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TN PREMIER CARE LLC

Practice address

3609 Outdoor Sportsman PL Ste 7
Kodak, TN 37764

Phone

(865) 281-5922

Fax

(865) 766-5396

NPI assigned

May 8, 2018

Last updated

Dec 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

TN PREMIER CAREAs reported in NPPES

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

Authorized official

Name

Ian P Clarke, PA

Title

Owner

Phone

(865) 281-5922

Specialties & licenses 1

Addresses

Part of

TN Premier Care LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• TN Premier Care LLC

  • Pain Clinic/Center
  • Kodak, TN
  • NPI 1487081758
  NPPES parent name

Practitioners 1

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.

• Audrey Marcelle Smith, M.D.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1992818975
  NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1144719808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OUTDOOR SPORTSMAN PL STE 7",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377641477",
            "telephone_number": "865-281-5922",
            "fax_number": "865-766-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OUTDOOR SPORTSMAN PL STE 7",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "37764",
            "telephone_number": "865-281-5922",
            "fax_number": "865-766-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN PREMIER CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TN PREMIER CARE",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-281-5922",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration House Ministries
• Joseph Roberto, DDS
• Svetlana Rowland, FNP-BC
• Noelan Schafer
• Deborah Clay Sellers-Mooney, FNP-BC
• TN Premier Care LLC
• Ursula Treadaway, PA-C
• Nathaniel Trok
• Volunteer Drug Testing LLC (Volunteer Transport)
• Benjamin Joseph Wittman, DPT

• Durable Medical Equipment & Medical Supplies in Kodak, TN
• Providers in Kodak, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.