{"npi":"1750449443","type":"NPI-2","status":"active","name":{"display":"Premier Surgical Associates, PLLC","other":[],"organization_name":"PREMIER SURGICAL ASSOCIATES, PLLC","authorised_official":"Jerome Rom"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"2086S0122X","description":"Plastic and Reconstructive Surgery Physician","primary":false,"state":null,"license":null},{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":false,"state":null,"license":null},{"code":"2086X0206X","description":"Surgical Oncology Physician","primary":false,"state":null,"license":null},{"code":"208C00000X","description":"Colon & Rectal Surgery Physician","primary":false,"state":null,"license":null},{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":false,"state":null,"license":null},{"code":"208600000X","description":"Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6408 PAPERMILL DR","city":"KNOXVILLE","state":"TN","postal_code":"379194858","country_code":"US","street_2":"SUITE 220","phone":"8653065675","fax":"8655847712"},{"purpose":"MAILING","street_1":"PO BOX 52948","city":"KNOXVILLE","state":"TN","postal_code":"379502948","country_code":"US","phone":"8653065675","fax":"8655847712"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"3707870","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040205000066","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"1254224181"}]},"enumeration_date":"2006-12-05","last_updated":"2025-07-14","_meta":{"source":"NPPES","snapshot_date":"2025-07-14","doc_url":"https://findmynpi.com/api"}}