Active NPI
Premier Internal Medicine of Giles County, PLLC
- Internal Medicine Physician
- Pulaski, TN
National Provider Identifier
1962662270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43040
- Legal business name
- PREMIER INTERNAL MEDICINE OF GILES COUNTY, PLLC
- Practice address
- 1119 E College St Ste 1
Pulaski, TN 38478-4556 - Phone
- (931) 207-8630
- Fax
- (931) 207-8629
- NPI assigned
- Jun 10, 2008
- 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
- Dr. Clement Aluyi, MD
- Title
- President/Ceo
- Phone
- (615) 397-3312
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 43040 | TN | Primary |
Addresses
Primary practice location
1119 E College St Ste 1
Pulaski, TN 38478-4556
Mailing address
PO Box 361
1119 E College St Ste 1
Pulaski, TN 38478-4556
Phone (931) 207-8630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505336 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081001000603 | TN | Part B Supplier - Clinic/Group Practice | 1052489200 |
Receives reassigned benefits from 7 practitioners Practice locations: Pulaski, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Premier Internal Med of Giles County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Health Clinical Nurse Specialist
- Pulaski, TN
- NPI 1407224660
Locations
1119 E College St
Pulaski, TN 38478
Phone (931) 330-0850
600 S Cannon Blvd
Shelbyville, TN 37160
Phone (317) 356-6309
600 S Cannon Blvd
Ste 1
Shelbyville, TN 37160
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Jackson, TN
- NPI 1174990105
-
- Family Nurse Practitioner
- Pulaski, TN
- NPI 1255782025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367539200000",
"number": "1962662270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361",
"address_2": "1119 E COLLEGE ST STE 1",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784556",
"telephone_number": "931-207-8630",
"fax_number": "931-207-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 E COLLEGE ST STE 1",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784556",
"telephone_number": "931-207-8630",
"fax_number": "931-207-8629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER INTERNAL MEDICINE OF GILES COUNTY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2013-05-03",
"status": "A",
"authorized_official_last_name": "ALUYI",
"authorized_official_first_name": "CLEMENT",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "615-397-3312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "43040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505336",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.