Premier Primary Care, PLLC
Organization Active NPI Family Medicine Physician · Union City, TN
NPI 1922403286 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1922403286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PREMIER PRIMARY CARE, PLLC
- Practice address
- 702 Sherrill St Ste B
Union City, TN 38261-5891 - Phone
- (731) 885-8884
- Fax
- (731) 599-9713
- NPI assigned
- Oct 29, 2014
- Organization subpart
- No
Authorized official
- Name
- Tina M Wright
- Title
- Practice Manager
- Phone
- (731) 507-0307
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 8
-
James T Batey, MD
-
Laken Brooke Clanton, NP-C
-
Brenda R. Dexter, FNP C
-
Rita Carol Koon, FNP BC
-
Emily C Miller, ANP BC
-
Ashley Martin, APRN-BC
-
Chelsea Shannon, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141229000703 | TN | Part B Supplier - Clinic/Group Practice | 3870816721 |
Receives reassigned benefits from 8 practitioners Practice locations: Union City, TN |
National Provider Directory
- Tax ID family
- Premier Primary Care
Locations
702 Sherrill St
#B
Union City, TN 38261
Phone (731) 885-8884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
702 Sherrill St Ste B
Union City, TN 38261-5891
Mailing address
702 Sherrill St Ste B
Union City, TN 38261-5891
Phone (731) 885-8884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006309 | Medicaid | TN | |
| Q003138 | Medicaid | TN |
Other providers in Union City, TN
- Pinnacle Pain Management, PLLC
- Kristina Pollock
- Amanda Denise Polman
- Premier Primary Care PLLC
- Premier Primary Care, PLLC
- Premier Wound Care, PLLC
- Priority Health & Addiction Medicine
- Priority One Medical Care LLC
- Jamie Camilla Pursell
- Quality Mobile X-Ray Services, Inc.
All providers in Union City, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.