PREMIER AMBULATORY SURGERY CENTER
NPI 1528622321
Clinic/Center - Ambulatory Surgical in Knoxville, TN

Q: What is Premier-Covenant Astc LLC's NPI number?

The NPI number for Premier-Covenant Astc LLC is 1528622321. It was assigned to this organization in the NPPES registry on April 26, 2019. The provider is doing business as Premier Ambulatory Surgery Center.

Q: What is Premier-Covenant Astc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 26, 2019CLIA 44D2254388 · Waiver

6408 PAPERMILL DR, KNOXVILLE, TN 37919(865) 306-5701(865) 584-7712 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2024, Apr 26, 2019 (2 updates tracked since 2019).

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About Premier Ambulatory Surgery Center NPPES

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

PREMIER AMBULATORY SURGERY CENTER (NPI 1528622321) is a healthcare organization registered as an ambulatory surgical in Knoxville, Tennessee and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Jay Rom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528622321

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePREMIER-COVENANT ASTC LLC

Location Address6408 PAPERMILL DRKnoxville, TN 37919-4858

Mailing Address6408 Papermill Dr Ste 220Knoxville, TN 37919-4858 · (865) 306-5701 · Fax (865) 584-7712

Phone(865) 306-5701

Fax(865) 584-7712

Organization SubpartNo

Authorized OfficialJay RomCeo · (865) 306-5701

Enumeration DateApril 26, 2019

Last NPPES UpdateApril 9, 20242 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1528622321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

6408 PAPERMILL DR, Knoxville, TN 37919

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Other Names 1

Doing Business AsPremier Ambulatory Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2254388

Premier Covenant Astc, PLLC · Knoxville, TN

Active · expires Mar 2, 2028

CLIA Number44D2254388

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 3, 2026

Certificate Expiration DateMarch 2, 2028

Laboratory DirectorIveta Estrella

Laboratory Phone(865) 306-5868

Laboratory LocationPremier Covenant Astc, PLLC6408 Papermill Drive, Suite 150, Knoxville, TN 37919

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

93 services93 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

64 services48 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

34 services33 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

28 services24 patients

Removal of central venous tube with port or pump 36590

The removal of a central venous tube with port or pump is a procedure that eliminates a device implanted under your skin. This device helped deliver medication or nutrients directly into a large vein near your heart. Its removal involves a minor surgical procedure performed under local anesthesia.

24 services24 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

21 services20 patients

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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.

DR. CHARLES STONE MITCHELL M.D.

Surgery