1. Home
  2. Directory
  3. Georgia
  4. Riverdale
  5. Obstetrics Gynecology
  6. NPI Profile

PREMIER WOMENS OBGYN, LLC
NPI 1083819429
Obstetrics & Gynecology in Riverdale, GA

Active since June 17, 2007
237 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 909-5003(770) 909-5004 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2020, Sep 30, 2015 (2 updates tracked since 2015).

About Premier Womens Obgyn, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER WOMENS OBGYN, LLC (NPI 1083819429) is a healthcare organization registered as an obstetrics & gynecology in Riverdale, Georgia and active in the NPI registry since June 2007. The organization lists Tracey Blander, Practice Management Consultant, as its authorized official.

NPPES Registry Identity

NPI1083819429
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePREMIER WOMENS OBGYN, LLC
Location Address237 UPPER RIVERDALE RD SWRiverdale, GA 30274-2537
Mailing Address237 Upper Riverdale Rd SwRiverdale, GA 30274-2537 · (770) 909-5003 · Fax (770) 909-5004
Phone(770) 909-5003
Fax(770) 909-5004
Organization SubpartNo
Authorized OfficialTracey BlanderPractice Management Consultant · (770) 716-6203
Enumeration DateJune 17, 2007
Last NPPES UpdateMarch 4, 20202 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
✔ NPI 1083819429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 054127
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
237 UPPER RIVERDALE RD SW, Riverdale, GA 30274
Open in Google Maps ↗

Other Identifiers 1

Medicaid547811054AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPHA AND OMEGA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
237 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (404) 419-6344
SARAH GRACE JENIOLIONIS MSN, APRN, FNP-C
Nurse Practitioner (Family)
237 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (678) 834-7589
KATZ, GLADSTONE & RABIN 2 LLC
Obstetrics & Gynecology
237 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (404) 943-0205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Womens Obgyn, LLC's NPI number?

The NPI number for Premier Womens Obgyn, LLC is 1083819429. It was assigned to this organization in the NPPES registry on June 17, 2007.

Where is Premier Womens Obgyn, LLC located?

Premier Womens Obgyn, LLC is located at 237 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (770) 909-5003.

What is Premier Womens Obgyn, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Premier Womens Obgyn, LLC was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.