PREMIER INTERNAL MEDICINE AND PEDIATRICS PLLC
NPI 1629503859
Clinic/Center - Primary Care in Selmer, TN

Active since April 25, 2017
714 FEDERAL DR, SELMER, TN 38375(731) 540-9083(731) 540-9103 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2017, Apr 25, 2017 (2 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 1629503859) is a healthcare organization registered as a primary care in Selmer, Tennessee and active in the NPI registry since April 2017. The organization lists Keith Lou Anthony Perkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1629503859
Entity TypeOrganization
Primary Taxonomy261QP2300X
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) 540-9103
Organization SubpartNo
Authorized OfficialKeith Lou Anthony PerkinsOwner · (731) 506-6995
Enumeration DateApril 25, 2017
Last NPPES UpdateNovember 9, 20172 updates tracked since enumeration
✔ NPI 1629503859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · 46862
714 FEDERAL DR, Selmer, TN 38375

Accepted Insurance

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 Internal Medicine And Pediatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Internal Medicine And Pediatrics PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1225253883
1947 MADISON ST STE B
Clarksville, TN 37043
(931) 614-7169
✔ PECOS✔ Accepts Medicare118 mi

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

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 1629503859. It was assigned to this organization in the NPPES registry on April 25, 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) 540-9083.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Premier Internal Medicine And Pediatrics PLLC enrolled in Medicare?

Yes. Premier Internal Medicine And Pediatrics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Internal Medicine And Pediatrics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Premier Internal Medicine And Pediatrics PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Internal Medicine And Pediatrics PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premier Internal Medicine And Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Internal Medicine And Pediatrics PLLC was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.