PREMIER SURGICAL ASSOCIATES, PLLC
NPI 1285806919
Prosthetic/Orthotic Supplier in Knoxville, TN

NPI Status: Active since April 02, 2008

Contact Information

6408 PAPERMILL DR
KNOXVILLE, TN
ZIP 37919
Phone: (865) 474-7096
Fax: (888) 606-4409

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 44D1077166
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-03-2025

About PREMIER SURGICAL ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Premier Surgical Associates, Pllc, a provider established in Knoxville, Tennessee operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1285806919 assigned on April 2008. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jerome Rom (Ceo)

NPI
1285806919
Provider Legal Name
PREMIER SURGICAL ASSOCIATES, PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6408 PAPERMILL DR KNOXVILLE, TN 37919
Location Phone
(865) 474-7096
Location Fax
(888) 606-4409
Mailing Address
PO BOX 52948 KNOXVILLE, TN 37950
Mailing Phone
(865) 474-7096
Mailing Fax
(888) 606-4409
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-02-2008
Last Update Date
08-08-2025
Code Navigator



Premier Surgical Associates, Pllc is a medicare supplier with PTAN 20667887 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Limb Prostheses.

Location Map

Secondary Locations

  • 7714 Conner Rd Ste 103
    Powell, TN 37849
    (865) 938-8121
  • 101 Med Tech Pkwy Ste 405
    Johnson City, TN 37604
    (423) 975-5650

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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEROME ROM

Authorized Official Title
CEO
Authorized Official Phone
(513) 561-8900

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
1455291MEDICAID (05)TN 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20667887
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Provider Type List
PHYSICIAN – GENERAL SURGERY.
Competitive Bidding
NO

Supplies List

  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D1077166
Facility Type
Physician Office
Certificate Effective Date
December 04, 2023
Certificate Expiration Date
December 03, 2025
Laboratory Director
STEVEN A. ROSS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier Surgical Associates, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PREMIER SURGICAL ASSOCIATES, PLLC

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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 1285806919, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 6 + 0 + 1 + 2 + 9 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1285806919.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Nurse Practitioner (Family)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Physician Assistant
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Physician Assistant
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Plastic and Reconstructive Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Physician Assistant
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Nurse Practitioner (Family)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Prosthetist
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Physician Assistant
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Surgery (Vascular Surgery)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Nurse Practitioner (Family)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Clinic/Center (Ambulatory Surgical)
6408 PAPERMILL DR
KNOXVILLE, TN 37919
Plastic Surgery
6408 PAPERMILL DR
KNOXVILLE, TN 37919

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285806919, enumerated as an "organization" on April 02, 2008.

The provider is located at 6408 PAPERMILL DR KNOXVILLE, TN 37919 and the phone number is (865) 474-7096.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.