PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC (NPI# 1639582398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639582398 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC |
| Other Organization Name | HUGHSTON CLINIC ORTHOPAEDICS |
| Practice Address |
353 New Shackle Island Rd Suite 142-c Hendersonville TN 37075-2379 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 6158267171 |
| Practice Fax Number | 6158267170 |
| Mailing Telephone | 7063246661 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7064943071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE DME | 0922510012 | 01 |
| Other Name | Type Code |
|---|---|
| Hughston Clinic Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861029084 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 2933 Medical Center Pkwy Ste D, Murfreesboro, TN 37129-2391 | 2020-03-26 |
| 1124554068 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 111 Highway 70 E Ste 103, Dickson, TN 37055-2080 | 2017-05-11 |
| 1710065735 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 5651 Frist Blvd Ste 711, Hermitage, TN 37076-2061 | 2006-11-01 |
| 1083078711 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 313 N Main St, Suite 2, Ashland City, TN 37015-1347 | 2016-04-08 |
| 1962809129 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 | 2014-12-03 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1083789176 | Premier Orthopaedics & Sports Medicine, Plc | Clinic/Center | 5651 Frist Blvd, Suite 515, Hermitage, TN 37076-2054 | 2006-11-22 |
| 1659443828 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 300 Stonecrest Blvd, Suite 200, Smyrna, TN 37167-5688 | 2006-11-14 |
| 1972681294 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2006-11-02 |
| 1174600332 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 394 Harding Pl, Suite 200, Nashville, TN 37211-3980 | 2006-11-01 |
| Street Address |
353 NEW SHACKLE ISLAND RD SUITE 142-C |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336630508 | Tricare Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 104 Glen Oak Blvd Ste 120, Hendersonville, TN 37075-6421 | 2018-05-23 |
| 1427548080 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 635 Greenville Hwy, Hendersonville, NC 28792 | 2018-05-18 |
| 1811446859 | Bro-mar, LLC | Durable Medical Equipment & Medical Supplies | 296 Lake Terrace Dr, Hendersonville, TN 37075-5123 | 2016-10-03 |
| 1306271911 | Nv Intimates | Durable Medical Equipment & Medical Supplies | 147 4th Ave W Ste B, Hendersonville, NC 28792-4385 | 2013-09-13 |
| 1598106759 | Blue Ridge Home Care | Durable Medical Equipment & Medical Supplies | 222 Thompson St, Suite 10, Hendersonville, NC 28792-2806 | 2013-07-16 |
| 1790062024 | Bedzzz N More | Durable Medical Equipment & Medical Supplies | 107 Township Dr, Hendersonville, TN 37075-2209 | 2011-11-15 |
| 1457685190 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 636 Spartanburg Hwy, Hendersonville, NC 28792-5761 | 2009-09-29 |
| 1336472802 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 601 Spartanburg Hwy, Hendersonville, NC 28792-5762 | 2009-09-15 |
| 1922249259 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1148 Asheville Hwy, Hendersonville, NC 28791-3642 | 2009-03-17 |
| 1295904209 | Lighthouse Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 310 7th Ave E, Hendersonville, NC 28792-3706 | 2008-02-23 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.