Promed Preferred TN 2 PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROMED PREFERRED TN 2 PLLC

Practice address

2893 Huntsville Hwy Ste B
Fayetteville, TN 37334-6681

Phone

(931) 297-1050

Fax

(844) 749-1106

NPI assigned

Feb 10, 2026

Organization subpart

No

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

Authorized official

Name

Lev Grinman, MD

Title

President

Phone

(615) 499-3165

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joslyn Caldwell, PA-C

  • Physician Assistant
  • Fayetteville, TN
  • NPI 1699646786
  Medicare reassignment Care Compare group NPD
• Kelly Ray Young, CRNP

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1083996714
  Medicare reassignment Care Compare group NPD
• Katrina Eve Robison

  • Family Nurse Practitioner
  • Madison, AL
  • NPI 1992673503

  TN

  Medicare reassignment

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1184576548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S OYSTER BAY RD # 2059",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 HUNTSVILLE HWY STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346681",
            "telephone_number": "931-297-1050",
            "fax_number": "844-749-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PREFERRED TN 2 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-499-3165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Larry Perkins, OD
• Augusta Nell Pierce, FNP-BC
• Lori Pigg
• Practical Behavior Analysis, LLC
• Premise Health of Tennessee Medical, P.C
• Dana Quick, PT
• R. Daniel de Jarnatt
• Stuti Raghuram
• Rehab Technologies LLC
• Results-Ast JV, LLC

• Family Medicine Physician in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.