| Premier Orthopaedics & Sports Medicine Plc | |
|
2400 Patterson St Ste 300, Nashville, TN 37203-1558 | |
| (615) 342-6300 | |
| (615) 342-6350 |
| Full Name | Premier Orthopaedics & Sports Medicine Plc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 2400 Patterson St Ste 300, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972577351 | NPI | - | NPPES |
| 7100023380 | Medicaid | KY | |
| 3707844 | Medicaid | TN | |
| 65944522 | Medicaid | KY |
| Provider Name | Paul A Abbey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1124029699 PECOS PAC ID: 3577459882 Enrollment ID: I20040224000937 |
| Provider Name | Ann M Beadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679574180 PECOS PAC ID: 9436045747 Enrollment ID: I20040227000936 |
| Provider Name | Steve G Salyers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831181593 PECOS PAC ID: 0840276168 Enrollment ID: I20040628000622 |
| Provider Name | Joseph Wieck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750354221 PECOS PAC ID: 1456265743 Enrollment ID: I20040712001554 |
| Provider Name | William C Mayfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568435808 PECOS PAC ID: 6608780093 Enrollment ID: I20040823001486 |
| Provider Name | Christopher P Kauffman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578523809 PECOS PAC ID: 0244209500 Enrollment ID: I20041002000096 |
| Provider Name | Philip James Kregor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598852600 PECOS PAC ID: 2466406301 Enrollment ID: I20050303000697 |
| Provider Name | Morgan P Lorio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730156720 PECOS PAC ID: 8820047426 Enrollment ID: I20050316000210 |
| Provider Name | Marc A Tressler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003903121 PECOS PAC ID: 2466498597 Enrollment ID: I20050629000575 |
| Provider Name | Brandon H Downs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568492049 PECOS PAC ID: 1759385040 Enrollment ID: I20060829000042 |
| Provider Name | Loretta A Brandon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154335636 PECOS PAC ID: 8921005182 Enrollment ID: I20061031000456 |
| Provider Name | Linda M Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710035373 PECOS PAC ID: 2264539261 Enrollment ID: I20070529000195 |
| Provider Name | James M Fish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821046459 PECOS PAC ID: 6002813284 Enrollment ID: I20070922000121 |
| Provider Name | John Chapman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659325611 PECOS PAC ID: 6901971951 Enrollment ID: I20080826000571 |
| Provider Name | Jonathan P Cornelius |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285843896 PECOS PAC ID: 7517018039 Enrollment ID: I20090623000780 |
| Provider Name | Malcom Baxter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528030616 PECOS PAC ID: 7719962547 Enrollment ID: I20100113000239 |
| Provider Name | Roy James Renfro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457323610 PECOS PAC ID: 6709861537 Enrollment ID: I20100113000251 |
| Provider Name | Gregg A. Motz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215908868 PECOS PAC ID: 3375686850 Enrollment ID: I20100518000343 |
| Provider Name | Marie P Wiser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881832087 PECOS PAC ID: 5294866927 Enrollment ID: I20100624000598 |
| Provider Name | Michael L Reid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063485274 PECOS PAC ID: 3072598804 Enrollment ID: I20100629000472 |
| Provider Name | Cara D Hataway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902107105 PECOS PAC ID: 4385823772 Enrollment ID: I20110201000743 |
| Provider Name | Robert Paul Fogolin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831153147 PECOS PAC ID: 2365416179 Enrollment ID: I20110225000470 |
| Provider Name | Jessica Deal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588951438 PECOS PAC ID: 3476724246 Enrollment ID: I20110928000011 |
| Provider Name | Patrick R Tighe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881823763 PECOS PAC ID: 5991839201 Enrollment ID: I20130128000469 |
| Provider Name | Todd A Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518955699 PECOS PAC ID: 9436395845 Enrollment ID: I20130409000257 |
| Provider Name | Allison L Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609074608 PECOS PAC ID: 2961696190 Enrollment ID: I20130701000091 |
| Provider Name | Randall Wray Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619218104 PECOS PAC ID: 9032352554 Enrollment ID: I20130903000529 |
| Provider Name | Tina R Pezeshk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629325436 PECOS PAC ID: 4587898796 Enrollment ID: I20131001000416 |
| Provider Name | Lucas Richie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447419577 PECOS PAC ID: 9739323742 Enrollment ID: I20140826001902 |
| Provider Name | Kathleen M Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497001051 PECOS PAC ID: 8628393568 Enrollment ID: I20150217000733 |
| Provider Name | Rebekah Mcclain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669652244 PECOS PAC ID: 6305923905 Enrollment ID: I20150324001981 |
| Provider Name | Caroline Shultz Devault |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023423894 PECOS PAC ID: 8729307384 Enrollment ID: I20150501001430 |
| Provider Name | Shawn Patrick Mountain |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235458183 PECOS PAC ID: 8820216617 Enrollment ID: I20151015001669 |
| Provider Name | Tiffany Feltman Meals |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588984660 PECOS PAC ID: 3577870351 Enrollment ID: I20160817000926 |
| Provider Name | Matthew L Sarb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407045230 PECOS PAC ID: 1759562853 Enrollment ID: I20160906000073 |
| Provider Name | Brittany Morgenstern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609181015 PECOS PAC ID: 7719260751 Enrollment ID: I20170216002111 |
| Provider Name | Nicholas Adam Roberson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578000337 PECOS PAC ID: 3375829732 Enrollment ID: I20170419001403 |
| Provider Name | Laura Rhea Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578003109 PECOS PAC ID: 5294012068 Enrollment ID: I20170503002332 |
| Provider Name | Quinn Millington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174573844 PECOS PAC ID: 0749190205 Enrollment ID: I20170530002541 |
| Provider Name | Hallie L Chonko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831537190 PECOS PAC ID: 2163729088 Enrollment ID: I20170531000365 |
| Provider Name | Brittany Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720523319 PECOS PAC ID: 3476821067 Enrollment ID: I20170623000525 |
| Provider Name | Mark Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225411457 PECOS PAC ID: 3678886322 Enrollment ID: I20170815003136 |
| Provider Name | Darin Michael White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053412486 PECOS PAC ID: 1052225893 Enrollment ID: I20170915003251 |
| Provider Name | Todd A Rubin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1245527506 PECOS PAC ID: 0749554053 Enrollment ID: I20170926002343 |
| Provider Name | Christopher Michael Jones |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497074017 PECOS PAC ID: 2567783012 Enrollment ID: I20181128003613 |
| Provider Name | David Neblett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720466741 PECOS PAC ID: 3375870355 Enrollment ID: I20190814000921 |
| Provider Name | Benjamin P. Debelak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790808848 PECOS PAC ID: 1456543743 Enrollment ID: I20191008002051 |
| Provider Name | Joseph Schaffer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275875775 PECOS PAC ID: 1658662341 Enrollment ID: I20191015000907 |
| Provider Name | Adam Cochran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720354343 PECOS PAC ID: 1557679800 Enrollment ID: I20191028000658 |
| Provider Name | Noelle M Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982602645 PECOS PAC ID: 5395919070 Enrollment ID: I20200115002787 |
| Provider Name | Roberta Stephens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669897013 PECOS PAC ID: 0143650127 Enrollment ID: I20200414002943 |
| Provider Name | Aneesh Garg |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346537370 PECOS PAC ID: 1052537768 Enrollment ID: I20200624001998 |
| Provider Name | Austin S Andrus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417492307 PECOS PAC ID: 1456635069 Enrollment ID: I20200804000642 |
| Provider Name | John Burleson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255779948 PECOS PAC ID: 1052619590 Enrollment ID: I20200817001071 |
| Provider Name | Kyle Martinos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942743422 PECOS PAC ID: 4385927482 Enrollment ID: I20200827003545 |
| Provider Name | Forrest Pendleton Allen |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1295081065 PECOS PAC ID: 1052634334 Enrollment ID: I20201026000250 |
| Provider Name | Michel Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144746777 PECOS PAC ID: 1850649864 Enrollment ID: I20201028000771 |
| Provider Name | Megan Warren |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033651682 PECOS PAC ID: 2961816657 Enrollment ID: I20210120001218 |
| Provider Name | Mark C Flanagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225616915 PECOS PAC ID: 8820407083 Enrollment ID: I20210429002313 |
| Provider Name | Alexandra Ping |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629619788 PECOS PAC ID: 6709289184 Enrollment ID: I20210722001484 |
| Provider Name | Daniel N Kiridly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043697279 PECOS PAC ID: 5799029989 Enrollment ID: I20210909000623 |
| Provider Name | Matthew Dean Beal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346406956 PECOS PAC ID: 6901950906 Enrollment ID: I20210915004013 |
| Provider Name | William Melton |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770998221 PECOS PAC ID: 5294025664 Enrollment ID: I20210921002899 |
| Provider Name | Sophie Benson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033887427 PECOS PAC ID: 0547658502 Enrollment ID: I20211025000005 |
| Provider Name | Randall Anders Hulet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326548314 PECOS PAC ID: 3476890641 Enrollment ID: I20220825003005 |
| Provider Name | Jon Hansford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710177316 PECOS PAC ID: 8628448404 Enrollment ID: I20230112002120 |
| Provider Name | Matthew Girard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457052649 PECOS PAC ID: 1951776517 Enrollment ID: I20230412002592 |
| Provider Name | Bhavika B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245004902 PECOS PAC ID: 2769832989 Enrollment ID: I20231229000525 |
| Provider Name | Mitchell Rock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972130227 PECOS PAC ID: 0446680615 Enrollment ID: I20240806004225 |
| Provider Name | Gleb Medvedev |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1114217858 PECOS PAC ID: 8628356417 Enrollment ID: I20240807001271 |
| Provider Name | Andrew Bae |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083109698 PECOS PAC ID: 8527421379 Enrollment ID: I20241007002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Orthopaedics & Sports Medicine Plc Po Box 370, Fortson, GA 31808-0370 Ph: (706) 324-6661 | Premier Orthopaedics & Sports Medicine Plc 2400 Patterson St Ste 300, Nashville, TN 37203-1558 Ph: (615) 342-6300 |