1. Home
  2. Directory
  3. Tennessee
  4. Martin
  5. Family Medicine
  6. NPI Profile

PREMIER PRIMARY CARE CLINIC INC
NPI 1477246411
Family Medicine in Martin, TN

Active since May 26, 2023CLIA 44D2284137 · Waiver
215 HAWKS RD STE 6, MARTIN, TN 38237(731) 281-7501(731) 281-7503 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Primary Care Clinic Inc NPPES

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

PREMIER PRIMARY CARE CLINIC INC (NPI 1477246411) is a healthcare organization registered as a family medicine in Martin, Tennessee and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Michael Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1477246411
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER PRIMARY CARE CLINIC INC
Location Address215 HAWKS RD STE 6Martin, TN 38237-2742
Mailing Address215 Hawks Rd Ste 6Martin, TN 38237-2742
Phone(731) 281-7501
Fax(731) 281-7503
Organization SubpartNo
Authorized OfficialMichael ColemanOwner · (731) 415-1172
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1477246411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
215 HAWKS RD STE 6, Martin, TN 38237
Open in Google Maps ↗

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

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 Primary Care Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Primary Care Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kelly Barnes, APRN
Nurse Practitioner
NPI 1194098145
215 HAWKS RD STE 6
Martin, TN 38237
(731) 281-7501
✔ PECOS✔ Accepts MedicareSame address
Brandon Pate, FNP
Nurse Practitioner
NPI 1790175867
1509 E REELFOOT AVE
Union City, TN 38261
(731) 886-8662
✔ PECOS✔ Accepts Medicare11 mi
Beth Graves, NP-C
Nurse Practitioner
NPI 1225400484
205 HOSPITAL DR SUITE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare26 mi

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

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 44D2284137

Premier Primary Care Clinic Inc · Martin, TN
Active · expires Jun 18, 2027
CLIA Number44D2284137
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorDr. Brandon Wilkinson
Laboratory Phone(731) 281-7501
Laboratory LocationPremier Primary Care Clinic Inc215 Hawks Rd Ste 6, Martin, TN 38237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primary Care Clinic Inc's NPI number?

The NPI number for Premier Primary Care Clinic Inc is 1477246411. It was assigned to this organization in the NPPES registry on May 26, 2023.

Where is Premier Primary Care Clinic Inc located?

Premier Primary Care Clinic Inc is located at 215 Hawks Rd Ste 6, Martin, TN 38237. The listed phone number is (731) 281-7501.

What is Premier Primary Care Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Premier Primary Care Clinic Inc enrolled in Medicare?

Yes. Premier Primary Care Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Primary Care Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Premier Primary Care Clinic Inc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Primary Care Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2284137) is associated with this NPI, valid through June 18, 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 Primary Care Clinic Inc was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.