Healthcare Provider Details

I. General information

NPI: 1457155129
Provider Name (Legal Business Name): TENNESSEE PREMIER HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 BEAR XING STE 100
MOUNT JULIET TN
37122-4684
US

IV. Provider business mailing address

741 HARDEN ST
GALLATIN TN
37066-4820
US

V. Phone/Fax

Practice location:
  • Phone: 865-234-4395
  • Fax:
Mailing address:
  • Phone: 865-964-6135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: KERIBETH RUTH SEARCY
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: PA-C
Phone: 865-964-6135