PREMIER WOUND CARE OF TENNESSEE, PC
NPI 1104702729
Nurse Practitioner - Family in Morristown, TN
NPI Status: Active since August 12, 2025
Contact Information
1907 W MORRIS BLVD STE A200
MORRISTOWN, TN
ZIP 37813
Phone: (423) 522-8700
Fax: (423) 522-8701
- Organization
- Nurse Practitioner
- Family
About PREMIER WOUND CARE OF TENNESSEE, PC
This page provides the complete NPI Profile along with additional information for Premier Wound Care Of Tennessee, Pc, a provider established in Morristown, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1104702729 assigned on August 2025. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Leonard Hales (Credentialing)
- NPI
- 1104702729
- Provider Name
- PREMIER WOUND CARE OF TENNESSEE, PC
- Entity Type
- Organization
- Location Address
- 1907 W MORRIS BLVD STE A200 MORRISTOWN, TN 37813
- Location Phone
- (423) 522-8700
- Location Fax
- (423) 522-8701
- Mailing Address
- 1326 PAPERMILL POINTE WAY KNOXVILLE, TN 37909
- Mailing Phone
- (423) 522-8700
- Mailing Fax
- (423) 522-8701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2025
- Last Update Date
- 02-23-2026
- Code Navigator
A nurse practitioner (NP) like Premier Wound Care Of Tennessee, Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q105544 | MEDICAID (05) | TN |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104702729, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MORRISTOWN, TN 37813
MORRISTOWN, TN 37813
MORRISTOWN, TN 37813
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104702729, enumerated as an "organization" on August 12, 2025.
The provider is located at 1907 W MORRIS BLVD STE A200 MORRISTOWN, TN 37813 and the phone number is (423) 522-8700.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
