Prime Obstetrics & Gynecology, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD26182 Issued in TN

Legal business name

PRIME OBSTETRICS & GYNECOLOGY, PC

Practice address

301 Wolverine TRL
Suite 200
Smyrna, TN 37167-5656

Phone

(615) 459-5228

Fax

(615) 459-5370

NPI assigned

Feb 27, 2007

Last updated

Aug 22, 2020By 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

Afam C Ikejiani, M.D.NPI 1205962750

Title

Physician

Phone

(615) 459-5228

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Afam C Ikejiani, M.D.

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
  • NPI 1205962750
  Medicare reassignment Authorized official
• Kiersten Anderson, APRN

  • Women's Health Nurse Practitioner
  • Smyrna, TN
  • NPI 1942927769
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831226000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371670305",
            "telephone_number": "615-459-5228",
            "fax_number": "615-459-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WOLVERINE TRL",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675656",
            "telephone_number": "615-459-5228",
            "fax_number": "615-459-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IKEJIANI",
        "authorized_official_first_name": "AFAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-459-5228",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD26182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087682",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Tennessee Medical PC (Franke - Smyrna)
• Jon Michael Preuett
• Melissa D Prevatte, APN
• Primary Care Physicians of Tennessee PLLC
• Primary Therapy Services LLC
• Adley Prince, CRNA
• Sarah Pritchard, LMSW
• Kimberly T Proctor-White, NCC, TLPC-MHSP
• Nichole Proulx, MS-SLP
• Providence Obstetrics and Gynecology, PLLC

• Obstetrics & Gynecology Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.