Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC
Active
Other names
Hughston Clinic Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA MCMEANS (DIR OF CREDENTIALING)
(706) 494-3171
Entity
Organization
Contact information
Practice address
115 WILLARD HAGEN DR, SUITE 100, LEBANON, TN 37090
(615) 547-6700
(615) 547-6707
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0922510011
MEDICARE NSC
TN
01
—
3707844
MEDICARE PIN
TN
05
—
3707844
—
TN
Enumeration date
09/11/2013
Last updated
07/16/2026
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