1. Home
  2. Directory
  3. Tennessee
  4. Morristown
  5. Nurse Practitioner
  6. NPI Profile

PREMIER WOUND CARE OF TENNESSEE, PC
NPI 1104702729
Nurse Practitioner - Family in Morristown, TN

Active since August 12, 2025
1907 W MORRIS BLVD STE A200, MORRISTOWN, TN 37813(423) 522-8700(423) 522-8701 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Aug 12, 2025 (2 updates tracked since 2025).

About Premier Wound Care Of Tennessee, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER WOUND CARE OF TENNESSEE, PC (NPI 1104702729) is a healthcare organization registered as a family in Morristown, Tennessee and active in the NPI registry since August 2025. The organization lists Leonard Hales, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1104702729
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePREMIER WOUND CARE OF TENNESSEE, PC
Location Address1907 W MORRIS BLVD STE A200Morristown, TN 37813-3880
Mailing Address1326 Papermill Pointe WayKnoxville, TN 37909-1903 · (423) 522-8700 · Fax (423) 522-8701
Phone(423) 522-8700
Fax(423) 522-8701
Organization SubpartNo
Authorized OfficialLeonard HalesCredentialing · (423) 522-8700
Enumeration DateAugust 12, 2025
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1104702729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1907 W MORRIS BLVD STE A200, Morristown, TN 37813
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ105544TN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Wound Care Of Tennessee, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Premier Wound Care Of Tennessee, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Tammy Mutter, NP
Nurse Practitioner
NPI 1427568476
277 E BROADWAY BLVD
Jefferson City, TN 37760
(865) 262-9294
✔ PECOS✔ Accepts Medicare11 mi
Benjamin Johnson, M.D.
Anesthesiology
NPI 1982674164
1342 PAPERMILL POINTE WAY
Knoxville, TN 37909
(865) 673-5000
✔ PECOS✔ Accepts Medicare41 mi
Jacob Harrison, FNP
Nurse Practitioner
NPI 1114449881
1328 PAPERMILL POINTE WAY
Knoxville, TN 37909
(865) 212-0530
✔ PECOS✔ Accepts Medicare41 mi
Amy Johnson, FNP-BC
Nurse Practitioner
NPI 1114557550
1328 PAPERMILL POINTE WAY
Knoxville, TN 37909
(865) 212-0530
✔ PECOS✔ Accepts Medicare41 mi
Charissa Willis, NP
Nurse Practitioner
NPI 1760473649
1328 PAPERMILL POINTE WAY
Knoxville, TN 37909
(865) 212-0530
✔ PECOS✔ Accepts Medicare41 mi
Adolfo Cuadra, MD
Anesthesiology
NPI 1457321648
1342 PAPERMILL POINTE WAY
Knoxville, TN 37909
(865) 673-5000
✔ PECOS✔ Accepts Medicare41 mi
Andrea Baxley, FNP-BC
Nurse Practitioner
NPI 1568962413
9111 CROSS PARK DR. D200 #1025
Knoxville, TN 37923
(865) 999-8637
✔ PECOS✔ Accepts Medicare47 mi
Karen Eller, FNP-C
Nurse Practitioner
NPI 1720661549
304 WRIGHT ST
Sweetwater, TN 37874
(865) 213-8200
✔ PECOS✔ Accepts Medicare77 mi
Robert Odell, M.D., PH.D.
Anesthesiology
NPI 1013957026
8084 W SAHARA AVE SUITE E
Las Vegas, NV 89117
(702) 247-7246
✔ PECOS✔ Accepts Medicare1,778 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Wound Care Of Tennessee, PC's NPI number?

The NPI number for Premier Wound Care Of Tennessee, PC is 1104702729. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Premier Wound Care Of Tennessee, PC located?

Premier Wound Care Of Tennessee, PC is located at 1907 W Morris Blvd Ste A200, Morristown, TN 37813. The listed phone number is (423) 522-8700.

What is Premier Wound Care Of Tennessee, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Premier Wound Care Of Tennessee, PC enrolled in Medicare?

Yes. Premier Wound Care Of Tennessee, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Wound Care Of Tennessee, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Wound Care Of Tennessee, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Anesthesiology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Wound Care Of Tennessee, PC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.