Active NPI
Premier Transport Services LLC
- Transportation Network Company
- Cordova, TN
National Provider Identifier
1780466177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Legal business name
- PREMIER TRANSPORT SERVICES LLC
- Practice address
- 879 Willow Tree Cir Ste 106
Cordova, TN 38018-3121 - Phone
- (190) 164-3691
- NPI assigned
- Oct 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wayne Rutledge Sr.
- Title
- Owner
- Phone
- (901) 574-9279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | Primary |
Addresses
Primary practice location
879 Willow Tree Cir Ste 106
Cordova, TN 38018-3121
Mailing address
879 Willow Tree Cir Ste 106
Cordova, TN 38018-3121
Phone (190) 164-3691
Other names 1
- PREMIER TRANSPORT SERVICES LLC
National Provider Directory
National Provider DirectoryLocations
879 Willow Tree Cir
Ste 106
Cordova, TN 38018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697673600000",
"number": "1780466177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 WILLOW TREE CIR STE 106",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380183121",
"telephone_number": "190-164-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 WILLOW TREE CIR STE 106",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380183121",
"telephone_number": "190-164-3691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER TRANSPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "RUTLEDGE",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-574-9279",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMIER TRANSPORT SERVICES LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.