Premier Surgical Associates, PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PREMIER SURGICAL ASSOCIATES, PLLC

Practice address

6408 Papermill Dr
Knoxville, TN 37919-4858

Phone

(865) 474-7096

Fax

(888) 606-4409

NPI assigned

Apr 2, 2008

Last updated

Aug 8, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PREMIER SURGICAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Jerome Rom

Title

Ceo

Phone

(513) 561-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Prosthetic Center Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Premier Surgical Associates, PLLC

  • Surgery Physician
  • Knoxville, TN
  • NPI 1750449443

  1254224181

  Same PAC ID

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

Medicare medical equipment & supply locations

Part of

Knoxville Surgical Asso

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045

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.

• Premier Surgical Associates, PLLC

  • Surgery Physician
  • Knoxville, TN
  • NPI 1750449443
  NPPES parent name

Practitioners 101

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.

• Morgan Alford, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1467151050
  NPD
• Michael Alfredo Antiporda, M.D.

  • Surgery Physician
  • Knoxville, TN
  • NPI 1083970669
  NPD
• Tonya Sherell Apperley, PA-C

  • Physician Assistant
  • Tazewell, TN
  • NPI 1467735365
  NPD
• Shannon Beierle, MD

  • Surgery Physician
  • Cleveland, TN
  • NPI 1497194336
  NPD
• Savanna Blevins, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1689125296
  NPD
• John Boxberger, MD

  • Surgery Physician
  • Cleveland, TN
  • NPI 1508429754
  NPD
• Brianna Burgard, PA-C

  • Physician Assistant
  • Powell, TN
  • NPI 1124877535
  NPD
• Christopher Scott Callicutt, M.D.

  • Vascular Surgery Physician
  • Knoxville, TN
  • NPI 1902827728
  NPD
• Willard B. Campbell, M.D.

  • Surgery Physician
  • Knoxville, TN
  • NPI 1306954490
  NPD
• Hamilton Cobb, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1194407510
  NPD
• Mark Alan Colquitt, MD

  • Surgery Physician
  • Knoxville, TN
  • NPI 1841307295
  NPD
• Meredith Cummings, PA

  • Physician Assistant
  • Knoxville, TN
  • NPI 1720516537
  NPD

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1285806919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52948",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502948",
            "telephone_number": "865-474-7096",
            "fax_number": "888-606-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194858",
            "telephone_number": "865-474-7096",
            "fax_number": "888-606-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7714 Conner Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493559",
            "country_code": "US",
            "telephone_number": "865-938-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Med Tech Pkwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376044000",
            "country_code": "US",
            "telephone_number": "423-975-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER SURGICAL ASSOCIATES",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "ROM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-561-8900"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455291",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Prosthetic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Premise Health of Tennessee Medical PC (City County)

• Prosthetic/Orthotic Supplier in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.