MEDICARE: PREMIER SUPPORT SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider	L000000006169	TN
2	251E00000X	Home Health Agency	0000000010	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4261896	OTHER	TN	VOLUNTEER STATE HEALTH PLAN
2	3162461	OTHER	TN	BCBS PROVIDER NUMBER
3	0447404	OTHER	TN	TENNCARE

General Provider Information

NPI Number	:	1013910793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER SUPPORT SERVICES, INC.

Provider Business Mailing Address
First Line	:	2482 BRIGHTS PIKE
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-6315
Country	:	US
Telephone Number	:	423-587-8771
Fax Number	:	423-587-8773

Provider Business Practice Location Address
First Line	:	2482 BRIGHTS PIKE
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-6315
Country	:	US
Telephone Number	:	423-587-8771
Fax Number	:	423-587-8773

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RANDALL FRYE
Credential	:
Telephone Number	:	276-494-8119

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/20/2024

Similar Medicare Providers

1528809613 — SOUTHEAST SPEECH SERVICES
Practice Location Address:

2482 BRIGHTS PIKE
MORRISTOWN, TN
37814-6315

Practice Phone: 865-312-8220
Practice Fax:

1164973541 — MICHELLE WHITELAW FNP-BC
Practice Location Address:

850 W 3RD NORTH ST
MORRISTOWN, TN
37814-3896

Practice Phone: 866-570-8494
Practice Fax: 423-353-4083

1285580191 — REAGAN CHEWNING
Practice Location Address:

622 W 1ST NORTH ST
MORRISTOWN, TN
37814-4544

Practice Phone: 423-307-1890
Practice Fax: 423-307-1891

1114920196 — DR. MARK JOSEPH MCKENNA D.D.S.
Practice Location Address:

424 N HIGH ST
MORRISTOWN, TN
37814-3863

Practice Phone: 423-581-2000
Practice Fax: 423-581-2045

1992708895 — DR. MARK MANNING HOLT M.D.
Practice Location Address:

2815 W ANDREW JOHNSON HWY
MORRISTOWN, TN
37814-3216

Practice Phone: 423-254-5000
Practice Fax:

1730182437 — PHARMACY SOLUTION INC
Practice Location Address:

5320 CUB CIR
MORRISTOWN, TN
37814-1018

Practice Phone: 865-471-2130
Practice Fax:

Directions to “PREMIER SUPPORT SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.