PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC
NPI 1316475411
Clinic/Center in Selmer, TN

Active since June 01, 2017CLIA 44D2136190 · Waiver
714 FEDERAL DR, SELMER, TN 38375(731) 506-6995(731) 506-6654 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Nov 9, 2017, Jun 1, 2017 (3 updates tracked since 2017).

About Premier Internal Medicine And Pediatrics, Pllc NPPES

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

PREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC (NPI 1316475411) is a healthcare organization registered as a clinic/center in Selmer, Tennessee and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Keith Perkins, Md, Owner, as its authorized official.

NPPES Registry Identity

NPI1316475411
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMIER INTERNAL MEDICINE AND PEDIATRICS, PLLC
Location Address714 FEDERAL DRSelmer, TN 38375-1876
Mailing Address714 Federal DrSelmer, TN 38375-1876 · (731) 540-9083 · Fax (731) 540-9103
Fax(731) 506-6654
Organization SubpartNo
Authorized OfficialKeith PerkinsMd, Owner · (314) 541-2860
Enumeration DateJune 1, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1316475411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
714 FEDERAL DR, Selmer, TN 38375

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2136190

Premier Internal Medicine And Pediatrics, PLLC · Selmer, TN
Active · expires Sep 4, 2027
CLIA Number44D2136190
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorAngie Whitten
Laboratory Phone(731) 540-9083
Laboratory LocationPremier Internal Medicine And Pediatrics, PLLC714 Federal Drive, Selmer, TN 38375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Primary Care)
714 FEDERAL DR
SELMER, TN 38375
Clinic/Center (Primary Care)
714 FEDERAL DR
SELMER, TN 38375
Specialist
714 FEDERAL DR
SELMER, TN 38375

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 Internal Medicine And Pediatrics, PLLC's NPI number?

The NPI number for Premier Internal Medicine And Pediatrics, PLLC is 1316475411. It was assigned to this organization in the NPPES registry on June 1, 2017.

Where is Premier Internal Medicine And Pediatrics, PLLC located?

Premier Internal Medicine And Pediatrics, PLLC is located at 714 Federal Dr, Selmer, TN 38375. The listed phone number is (731) 506-6995.

What is Premier Internal Medicine And Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Premier Internal Medicine And Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2136190) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Internal Medicine And Pediatrics, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.