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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: October 18, 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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Womens Obgyn, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Premier Womens Obgyn, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Kendra Mclester, CNM
Certified Nurse Midwife (CNM)
NPI 1194788034
155 MEDICAL WAY SUITE B
Riverdale, GA 30274
(770) 909-5003
✔ PECOS0.3 mi
Tracey St Julian, MD
Obstetrics/Gynecology
NPI 1306901467
300 GLYNN STREET SOUTH
Fayetteville, GA 30214
(770) 629-2702
✔ PECOS✔ Accepts Medicare9.6 mi
Shniqual Adams, CNM
Certified Nurse Midwife (CNM)
NPI 1922457167
191 MEDICAL BLVD
Stockbridge, GA 30281
(678) 604-4000
✔ PECOS✔ Accepts Medicare11 mi
Jeshenna Watkins, M.D.
Obstetrics/Gynecology
NPI 1437444122
190 HANDLEY RD STE A
Tyrone, GA 30290
(770) 997-5714
✔ PECOS13 mi
Amber Watters, MD
Obstetrics/Gynecology
NPI 1134625825
3333 JODECO RD STE D
Mcdonough, GA 30253
(770) 474-1919
✔ PECOS✔ Accepts Medicare13 mi
Ariana Thompson
Nurse Practitioner
NPI 1487134474
2655 COUNTY HIGHWAY I
Chippewa Falls, WI 54729
(715) 746-4200
✔ PECOS✔ Accepts Medicare868 mi
Leslie Brown, MD
Obstetrics/Gynecology
NPI 1710958400
7922 EWING HALSELL DR STE 170
San Antonio, TX 78229
(210) 614-5665
✔ PECOS✔ Accepts Medicare881 mi
Anna Pestine, CNM
Certified Nurse Midwife (CNM)
NPI 1821596099
1875 4TH STREET
San Francisco, CA 94143
(415) 353-2566
✔ PECOS2,142 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Premier Womens Obgyn, LLC enrolled in Medicare?

Yes. Premier Womens Obgyn, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Womens Obgyn, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Womens Obgyn, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4), Certified Nurse Midwife (CNM) (3) and Nurse Practitioner (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.