Healthcare Provider Details

I. General information

NPI: 1972577351
Provider Name (Legal Business Name): PREMIER ORTHOPAEDICS & SPORTS MEDICINE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 300
NASHVILLE TN
37203-1558
US

IV. Provider business mailing address

PO BOX 370
FORTSON GA
31808-0370
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-6300
  • Fax: 615-342-6350
Mailing address:
  • Phone: 706-324-6661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARLA MCMEANS
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 706-494-3171