TN Premier Care LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

397 Issued in TN

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

Oct 2, 2013

Last updated

Dec 10, 2019By 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

Ian P Clarke

Title

Owner

Phone

(865) 281-5922

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• TN Premier Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Kodak, TN
  • NPI 1144719808
  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": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1487081758",
    "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": "NO",
        "enumeration_date": "2013-10-02",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TN",
            "license": "397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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

• Pain Clinic/Center in Kodak, TN
• Providers in Kodak, TN by specialty
• Pain Clinic/Center 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.