PREMIER MEDICAL GROUP PC
NPI 1740242957
General Practice in Clarksville, TN

Active since April 04, 2006CLIA 44D0306704 · Certificate of Compliance
490 DUNLOP LN, CLARKSVILLE, TN 37040(931) 245-7000 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Apr 16, 2024, Oct 17, 2023 and 4 more (7 updates tracked since 2017).

About Premier Medical Group Pc NPPES

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

PREMIER MEDICAL GROUP PC (NPI 1740242957), doing business as Pmedical Group, is a healthcare organization registered as a general practice in Clarksville, Tennessee and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 24, 2026 and lists Melissa Liverett, Chief Financial Administrator, as its authorized official.

NPPES Registry Identity

NPI1740242957
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePREMIER MEDICAL GROUP PC
Location Address490 DUNLOP LNClarksville, TN 37040-5007
Mailing AddressPo Box 3799Clarksville, TN 37043-3799 · (931) 245-7000
Organization SubpartNo
Authorized OfficialMelissa LiverettChief Financial Administrator · (931) 245-7000
Enumeration DateApril 4, 2006
Last NPPES UpdateSeptember 23, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1740242957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
490 DUNLOP LN, Clarksville, TN 37040

Other Names 1

Doing Business AsPmedical Group

Other Identifiers 2

Other3164217TN · Bcbs Group #
OtherCA4837TN · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

58

Medicare enrollment records show 58 clinicians reassign Medicare billing to Premier Medical Group PC, which bills Medicare for the services they deliver. Of these, 52 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner17
Family Practice16
Pediatric Medicine11
Obstetrics/Gynecology6
Internal Medicine4
Diagnostic Radiology3
Sports Medicine1

Nearest to this location (20)

See all 58
Family Practice
NPI 1285383018
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1144201567
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326426792
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1669650164
490 DUNLOP LN BLDG 2
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1720441926
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOSSame address
Nurse Practitioner
NPI 1114777604
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518358118
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336695717
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1376528968
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8400
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1154821031
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8400
✔ PECOSSame address
Nurse Practitioner
NPI 1194260976
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOSSame address
Nurse Practitioner
NPI 1700247822
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1154615201
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8400
✔ PECOSSame address
Diagnostic Radiology
NPI 1912264854
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972549673
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437315470
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8600
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1760879993
490 DUNLOP LN BLDG 2
Clarksville, TN 37040
(931) 245-8100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972584993
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8300
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1265520662
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1437313202
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-8622
✔ PECOS✔ Accepts MedicareSame address
See all 58 clinicians

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 Compliance 44D0306704

Premier Medical Group, PC · Clarksville, TN
Active · expires Oct 24, 2026
CLIA Number44D0306704
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorDr. John Scott Mccullough
Laboratory Phone(931) 245-8656
Laboratory LocationPremier Medical Group, PC490 Dunlop Lane, Clarksville, TN 37040
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Medical Group PC's NPI number?

The NPI number for Premier Medical Group PC is 1740242957. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as PMedical Group.

Where is Premier Medical Group PC located?

Premier Medical Group PC is located at 490 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 245-7000.

What is Premier Medical Group PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Premier Medical Group PC enrolled in Medicare?

Yes. Premier Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 7 Medicare specialties reassign their Medicare billing to Premier Medical Group PC. 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. The largest specialties are Nurse Practitioner (17), Family Practice (16) and Pediatric Medicine (11). Of these, 52 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0306704) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Medical Group PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premier Medical Group PC 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 Medical Group PC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.