Premier Internal Medicine and Pediatrics, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC

Practice address

714 Federal Dr
Selmer, TN 38375-1876

Phone

(731) 506-6995

Fax

(731) 506-6654

NPI assigned

Jun 1, 2017

Last updated

Jul 21, 2022By 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

Dr. Keith Perkins Jr., MDNPI 1225253883

Title

MD, Owner

Phone

(314) 541-2860

Specialties & licenses 1

Addresses

Locations

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.

• Keith Lou Anthony Perkins Jr., M.D.

  • Internal Medicine Physician
  • Clarksville, TN
  • NPI 1225253883
  NPD Authorized official

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316475411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FEDERAL DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751876",
            "telephone_number": "731-540-9083",
            "fax_number": "731-540-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 FEDERAL DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751876",
            "telephone_number": "731-506-6995",
            "fax_number": "731-506-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "314-541-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger R Phillips, PHARMD
• Patricia Pickens
• Bobby Shawn Pitts, DC
• Amy Plunk, M.A./LPE
• Premier Internal Medicine and Pediatrics PLLC
• Prime Care Medical Center PC
• Quality Care Pharmacy, PLLC
• Anna Marie Ray, PTA
• Redemption Recovery Center, LLC (AppleGate Recovery - Selmer)
• Kirby Redmon, BUS

• Clinic/Center in Selmer, TN
• Providers in Selmer, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.