NPIMap

Organization Active NPI

Premier Internal Medicine of Giles County

  • Family Health Clinical Nurse Specialist
  • Pulaski, TN
National Provider Identifier
1407224660
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
20382 Issued in TN
Legal business name
PREMIER INTERNAL MEDICINE OF GILES COUNTY
Practice address
1119 E College St
Suite 1
Pulaski, TN 38478-4563
Phone
(931) 207-8630
Fax
(931) 207-8629
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Dr. Clement O Aluyi, MD
Title
Owner,MD
Phone
(931) 207-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 20382 TN Primary

Addresses

Primary practice location

1119 E College St
Suite 1
Pulaski, TN 38478-4563

Mailing address

1119 E College St
Suite 1
Pulaski, TN 38478-4563
Phone (931) 207-8630

Other identifiers 1

IdentifierTypeStateIssuer
20382OtherTNAPN

National Provider Directory

National Provider Directory
Tax ID family
Premier Internal Med of Giles County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1119 E College St
Ste 1
Pulaski, TN 38478
Phone (931) 207-8630

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1407224660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST",
            "address_2": "SUITE 1",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784563",
            "telephone_number": "931-207-8630",
            "fax_number": "931-207-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST",
            "address_2": "SUITE 1",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784563",
            "telephone_number": "931-207-8630",
            "fax_number": "931-207-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE OF GILES COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "ALUYI",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER,MD",
        "authorized_official_telephone_number": "931-207-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TN",
            "license": "20382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "20382",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.