PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC
NPI 1316475411
Clinic/Center in Selmer, TN
- Organization
- Clinic/Center
- CLIA Number: 44D2136190
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-04-2027
About PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC
This page provides the complete NPI Profile along with additional information for Premier Internal Medicine And Pediatrics, Pllc, a provider established in Selmer, Tennessee operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1316475411 assigned on June 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Keith Perkins Jr. Md (Md, Owner)
- NPI
- 1316475411 Verify this NPI
- Provider Name
- PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC
- Entity Type
- Organization
- Location Address
- 714 FEDERAL DR SELMER, TN 38375
- Location Phone
- (731) 506-6995
- Location Fax
- (731) 506-6654
- Mailing Address
- 714 FEDERAL DR SELMER, TN 38375
- Mailing Phone
- (731) 540-9083
- Mailing Fax
- (731) 540-9103
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2017
- Last Update Date
- 07-21-2022
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 44D2136190
- Facility Type
- Physician Office
- Certificate Effective Date
- September 05, 2025
- Certificate Expiration Date
- September 04, 2027
- Laboratory Director
- ANGIE WHITTEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Internal Medicine And Pediatrics, 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.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SELMER, TN 38375
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316475411, enumerated as an "organization" on June 01, 2017.
The provider is located at 714 FEDERAL DR SELMER, TN 38375 and the phone number is (731) 506-6995.
Clinic/Center with taxonomy code 261Q00000X.
