PREMIER SURGICAL ASSOCIATES, PLLC - NPI 1750449443

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 208600000X.

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About Premier Surgical Associates, Pllc NPPES

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

PREMIER SURGICAL ASSOCIATES, PLLC (NPI 1750449443) is a healthcare organization registered as a surgery in Knoxville, Tennessee and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Jerome Rom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750449443

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePREMIER SURGICAL ASSOCIATES, PLLC

Location Address6408 PAPERMILL DR, SUITE 220Knoxville, TN 37919-4858

Mailing AddressPo Box 52948Knoxville, TN 37950-2948 · (865) 306-5675 · Fax (865) 584-7712

Phone(865) 306-5675

Fax(865) 584-7712

Organization SubpartNo

Authorized OfficialJerome RomCeo · (865) 306-5675

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1750449443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

6408 PAPERMILL DR, Knoxville, TN 37919

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Other Identifiers 1

Medicaid3707870TN

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

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 44D1077166

Premier Surgical Associates PLLC Premier Vascular Access & Imaging Ctr · Knoxville, TN

Active · expires Dec 3, 2027

CLIA Number44D1077166

Laboratory TypePhysician Office

Certificate Effective DateDecember 4, 2025

Certificate Expiration DateDecember 3, 2027

Laboratory DirectorSteven A. Ross

Laboratory Phone(865) 306-5675

Laboratory LocationPremier Surgical Associates PLLC Premier Vascular Access & Imaging Ctr6408 Papermill Drive, Knoxville, TN 37919

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 20

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

DR. RICHARD MICHAEL YOUNG M.D.

Surgery (Vascular Surgery)