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PREMIER SURGICAL ASSOCIATES, PLLC
NPI 1750449443
Surgery in Knoxville, TN

Active since December 05, 2006CLIA 44D1077166 · Waiver
6408 PAPERMILL DR, SUITE 220, KNOXVILLE, TN 37919(865) 306-5675(865) 584-7712 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2023, Aug 7, 2019, Jul 29, 2019 (3 updates tracked since 2019).

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
Open in Google Maps ↗

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 Health, Ambetter of Alabama and more.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 Surgical Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Premier Surgical Associates, PLLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

General Surgery28
Nurse Practitioner8
Vascular Surgery6
Surgical Oncology3
Colorectal Surgery (Proctology)2
Plastic and Reconstructive Surgery2
General Practice1
Podiatry1
1 other specialty1

Nearest to this location (20)

See all 52
Christopher Callicutt, M.D.
Vascular Surgery
NPI 1902827728
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Hamilton Cobb, FNP
Nurse Practitioner
NPI 1194407510
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Amanda Ergen, NP-C
Nurse Practitioner
NPI 1851771430
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Maksim Gusev, MD
Vascular Surgery
NPI 1932513421
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 938-8121
✔ PECOS✔ Accepts MedicareSame address
David Kerekes, MD
Plastic and Reconstructive Surgery
NPI 1437648987
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 306-5680
✔ PECOS✔ Accepts MedicareSame address
Andrew Kropilak, MD
Vascular Surgery
NPI 1396235008
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Deanna Nelson, MD
Vascular Surgery
NPI 1386816833
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Afshin Skibba, M.D.
Vascular Surgery
NPI 1598057861
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Stephen Tonks, MD
Vascular Surgery
NPI 1689937989
6408 PAPERMILL DR
Knoxville, TN 37919
(886) 588-8229
✔ PECOS✔ Accepts MedicareSame address
Charles Mitchell, M.D.
General Surgery
NPI 1013019322
6408 PAPERMILL DR
Knoxville, TN 37919
(865) 588-8229
✔ PECOSSame address
David Lo, M.D.
Plastic and Reconstructive Surgery
NPI 1063671493
6512 DEANE HILL DR
Knoxville, TN 37919
(865) 357-2639
✔ PECOS0.5 mi
Caitlyn Savage, FNP-BC
Nurse Practitioner
NPI 1780285932
6512 DEANE HILL DR
Knoxville, TN 37919
(865) 357-2222
✔ PECOS✔ Accepts Medicare0.5 mi
Michael Antiporda, M.D.
General Surgery
NPI 1083970669
1819 CLINCH AVE STE 200
Knoxville, TN 37916
(865) 524-3695
✔ PECOS✔ Accepts Medicare4.4 mi
Mark Colquitt, MD
General Surgery
NPI 1841307295
1819 W CLINCH AVE SUITE 200
Knoxville, TN 37916
(865) 984-3413
✔ PECOS✔ Accepts Medicare4.4 mi
Elissa Falconer, M.D.
Colorectal Surgery (Proctology)
NPI 1619400546
1819 CLINCH AVE STE 200
Knoxville, TN 37916
(865) 524-3695
✔ PECOS✔ Accepts Medicare4.4 mi
Grey Leonard, M.D.
Surgical Oncology
NPI 1710374558
1819 CLINCH AVE STE 200
Knoxville, TN 37916
(865) 524-3695
✔ PECOS✔ Accepts Medicare4.4 mi
Gregory Midis, M.D.
Surgical Oncology
NPI 1033226162
1819 W CLINCH AVE STE 200
Knoxville, TN 37916
(865) 524-3695
✔ PECOS✔ Accepts Medicare4.4 mi
Wendy Heidel, FNP
Nurse Practitioner
NPI 1083779193
1819 CLINCH AVE STE 200
Knoxville, TN 37916
(865) 984-3413
✔ PECOS✔ Accepts Medicare4.5 mi
Madison Tipton, DNP, FNP-C
Nurse Practitioner
NPI 1982522009
1819 CLINCH AVE STE 200
Knoxville, TN 37916
(865) 524-3695
✔ PECOS4.5 mi
Sung Lee, MD
Colorectal Surgery (Proctology)
NPI 1023499423
1819 CLINCH AVE STE 200
Knoxville, TN 37916
(865) 524-3659
✔ PECOS✔ Accepts Medicare4.5 mi
See all 52 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 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.

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 Surgical Associates, PLLC's NPI number?

The NPI number for Premier Surgical Associates, PLLC is 1750449443. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Premier Surgical Associates, PLLC located?

Premier Surgical Associates, PLLC is located at 6408 Papermill Dr Suite 220, Knoxville, TN 37919. The listed phone number is (865) 306-5675.

What is Premier Surgical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Premier Surgical Associates, PLLC enrolled in Medicare?

Yes. Premier Surgical Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Surgical Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 9 Medicare specialties reassign their Medicare billing to Premier Surgical Associates, 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. The largest specialties are General Surgery (28), Nurse Practitioner (8) and Vascular Surgery (6). Of these, 10 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Surgical Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1077166) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Surgical Associates, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Premier Surgical Associates, 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 Surgical Associates, PLLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.