Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premier Childrens Healthcare PC

Organization Family Medicine Physician · NPI 1851491609

Premier Childrens Healthcare PC is a Family Medicine Physician in Lebanon, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1029 W Main St Ste M
Lebanon, TN 37087
Phone: (615) 453-9492
Fax: (615) 453-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1851491609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Kellum — Office Manager · (615) 453-9492
NPI enumeratedSeptember 22, 2006
Last updated in NPPESApril 8, 2010
Mailing address1029 West Main St, Suite M, Lebanon, TN 37087

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