Provider Demographics
NPI:1295338341
Name:PREMIER PSYCHIATRY ASSOCIATES
Entity type:Organization
Organization Name:PREMIER PSYCHIATRY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-444-5117
Mailing Address - Street 1:267 LAUREL CYN
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-4727
Mailing Address - Country:US
Mailing Address - Phone:423-444-5117
Mailing Address - Fax:
Practice Address - Street 1:267 LAUREL CYN
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37615-4727
Practice Address - Country:US
Practice Address - Phone:423-444-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty