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

NPI Status: Active since December 05, 2006

Contact Information

6408 PAPERMILL DR
SUITE 220
KNOXVILLE, TN
ZIP 37919
Phone: (865) 306-5675
Fax: (865) 584-7712

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  • Organization
  • Surgery
  • Accepts Insurance

About PREMIER SURGICAL ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Premier Surgical Associates, Pllc, a provider established in Knoxville, Tennessee operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1750449443 assigned on December 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Premier Surgical Associates, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jerome Rom (Ceo)

NPI
1750449443
Provider Name
PREMIER SURGICAL ASSOCIATES, PLLC
Entity Type
Organization
Location Address
6408 PAPERMILL DR SUITE 220 KNOXVILLE, TN 37919
Location Phone
(865) 306-5675
Location Fax
(865) 584-7712
Mailing Address
PO BOX 52948 KNOXVILLE, TN 37950
Mailing Phone
(865) 306-5675
Mailing Fax
(865) 584-7712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
12-07-2023
Code Navigator

A surgeon like Premier Surgical Associates, Pllc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
22086X0206XAllopathic & Osteopathic Physicians

Surgery
Surgical Oncology

 
3208C00000XAllopathic & Osteopathic Physicians

Colon & Rectal Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEROME ROM

Authorized Official Title
CEO
Authorized Official Phone
(865) 306-5675

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3707870MEDICAID (05)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750449443
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100841848
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 4 + 1 + 8 + 4 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1750449443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134236052DR. RICHARD MICHAEL YOUNG M.D.
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1013019322DR. CHARLES STONE MITCHELL M.D.
Individual
Surgery6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1386816833DR. DEANNA L NELSON MD
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1598057861DR. AFSHIN ANDREW SKIBBA M.D.
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1902827728DR. CHRISTOPHER SCOTT CALLICUTT M.D.
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1104904028DR. JOHN R REISSER MD
Individual
Surgery6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 306-5820
1518423847 SADIA KHAN FNP
Individual
Nurse Practitioner (Family)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1306953260 CHRISTOPHER W. POLLOCK M.D.
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1780241539MISS CAROLINE ELIZABETH WILLIAMS PA-C
Individual
Physician Assistant6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1477661577 BRIAN H. GARBER M.D.
Individual
Surgery6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-9952
1689937989 STEPHEN A. TONKS MD
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(886) 588-8229
1770120479 CAMERON M RAYMENT PA-C
Individual
Physician Assistant6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1063671493 DAVID D LO M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1780285932 CAITLYN SAVAGE FNP-BC
Individual
Nurse Practitioner (Family)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 306-5680
1699230904 DANIELLE WING PA
Individual
Physician Assistant6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1851771430MRS. AMANDA ERGEN NP-C
Individual
Nurse Practitioner (Family)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1568195741MR. JASON L HAYDEN CP
Individual
Prosthetist6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 474-7096
1568882017 KAITLIN SIEGEL PA-C
Individual
Physician Assistant6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229
1932513421 MAKSIM GUSEV MD
Individual
Surgery (Vascular Surgery)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 938-8121
1194407510 HAMILTON COBB FNP
Individual
Nurse Practitioner (Family)6408 PAPERMILL DR
KNOXVILLE, TN 37919
(865) 588-8229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750449443, enumerated in the NPI registry as an "organization" on December 05, 2006

The provider is located at 6408 Papermill Dr Suite 220 Knoxville, Tn 37919 and the phone number is (865) 306-5675

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.