Premier Medical Inc
NPI 1740489400ActiveOrganization· Nurse Practitioner, Family· Cookeville, TN
Nurse Practitioner, Family in Cookeville, Tennessee, registered in NPPES in July 2007. The authorized official on file is Leigh Ann Ray, FNP, Office Manager.
Overview
| NPI | 1740489400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2007 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 6216479758 | TN |
| Nurse Practitioner, Adult Health | 363LA2200X | — | TN |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | TN |
| Nurse Practitioner, Primary Care | 363LP2300X | — | TN |
| Nurse Practitioner, Occupational Health | 363LX0106X | — | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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