PREMIER PEDIATRICS, LLC
NPI 1235149014
Pediatrics in Johnson City, TN

Q: What is Premier Pediatrics, LLC's NPI number?

The NPI number for Premier Pediatrics, LLC is 1235149014. It was assigned to this organization in the NPPES registry on August 8, 2006.

Q: What is Premier Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 08, 2006

101 MED TECH PKWY, SUITE 405, JOHNSON CITY, TN 37604(423) 929-2454 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premier Pediatrics, Llc NPPES

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

PREMIER PEDIATRICS, LLC (NPI 1235149014) is a healthcare organization registered as a pediatrics in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization lists Elaine Barbara Pugh, President, as its authorized official.

NPPES Registry Identity

NPI1235149014

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePREMIER PEDIATRICS, LLC

Location Address101 MED TECH PKWY, SUITE 405Johnson City, TN 37604-4007

Mailing Address101 Med Tech Pkwy, Suite 405Johnson City, TN 37604-4007 · (423) 929-2454

Phone(423) 929-2454

Organization SubpartNo

Authorized OfficialElaine Barbara PughPresident · (423) 929-2454

Enumeration DateAugust 8, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1235149014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · MD16282

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

101 MED TECH PKWY, Johnson City, TN 37604

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE VILLANUEVA PT

Physical Medicine & Rehabilitation

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

MOUNTAIN STATES HEALTH ALLIANCE

Home Infusion

101 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604

Washington County (423) 431-4601

JOSEPH C NANNEY PA

Physician Assistant

101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604

Washington County (423) 926-6266

HOLLY RENEE BROADWATER FNP

Nurse Practitioner (Family)

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

DR. SHANE M ADAMS MD

Family Medicine

101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604

Washington County (423) 926-6266

DR. FERNANDO BENDFELDT M.D.

Psychiatry & Neurology (Psychiatry)

101 MED TECH PKWY, STE 407
JOHNSON CITY, TN 37604

Washington County (423) 283-8801

SAMEH WARD M.D.

Pain Medicine (Interventional Pain Medicine)

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

TAYLOR TYREE

Nurse Practitioner (Family)

101 MED TECH PKWY
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

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 Pediatrics, LLC's NPI number?

The NPI number for Premier Pediatrics, LLC is 1235149014. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Premier Pediatrics, LLC located?

Premier Pediatrics, LLC is located at 101 Med Tech Pkwy Suite 405, Johnson City, TN 37604. The listed phone number is (423) 929-2454.

What is Premier Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Premier Pediatrics, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.