Premier Primary Care Clinic Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PREMIER PRIMARY CARE CLINIC INC

Practice address

215 Hawks Rd Ste 6
Martin, TN 38237-2742

Phone

(731) 281-7501

Fax

(731) 281-7503

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Michael Coleman

Title

Owner

Phone

(731) 415-1172

Specialties & licenses 1

Addresses

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.

• Matthew A Tanner

  • Physician Assistant
  • Nashville, TN
  • NPI 1194380501
  NPD
• Brandon Wilkinson, DO

  • Emergency Medicine Physician
  • Charleston, WV
  • NPI 1780145441
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1962196972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD STE 6",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD STE 6",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372742",
            "telephone_number": "731-281-7501",
            "fax_number": "731-281-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PRIMARY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-415-1172"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rea Pittman, APRN, FNP-C
• Laura C Plunk, BCBA
• Bayleigh Powers, OT
• Precision Chiropractic PLLC
• Premier Primary Care Clinic Inc
• Suzanne Pritchett, PHARM.D.
• Robert Pruitt, DMD
• Adam K Pulliam, DPT
• Keener B Ragsdale, MD
• Shelby Ramsey, PHARM.D.

• Rural Health Clinic/Center in Martin, TN
• Providers in Martin, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.