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PREMIER PRIMARY CARE, LLC
NPI 1154887925
Internal Medicine in Snellville, GA

Active since February 15, 2019CLIA 11D2163287 · Waiver
2121 FOUNTAIN DR STE A, SNELLVILLE, GA 30078(770) 736-3008(770) 687-2296 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2019, Apr 15, 2019, Feb 15, 2019 (3 updates tracked since 2019).

About Premier Primary Care, Llc NPPES

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

PREMIER PRIMARY CARE, LLC (NPI 1154887925) is a healthcare organization registered as an internal medicine in Snellville, Georgia and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Amanda Crawford, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1154887925
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER PRIMARY CARE, LLC
Location Address2121 FOUNTAIN DR STE ASnellville, GA 30078-2900
Mailing Address2121 Fountain Dr Ste ASnellville, GA 30078-2900 · (770) 736-3008
Phone(770) 736-3008
Fax(770) 687-2296
Organization SubpartNo
Authorized OfficialAmanda CrawfordPractice Administrator · (770) 736-3008
Enumeration DateFebruary 15, 2019
Last NPPES UpdateJuly 19, 20193 updates tracked since enumeration
✔ NPI 1154887925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2121 FOUNTAIN DR STE A, Snellville, GA 30078
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2163287

Premier Primary Care, LLC · Snellville, GA
Active · expires Mar 11, 2027
CLIA Number11D2163287
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorJose Dominguez
Laboratory Phone(404) 822-2944
Laboratory LocationPremier Primary Care, LLC2121 Fountain Drive, Suite A, Snellville, GA 30078
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

GEORGIA CLINICAL RESEARCH, LLC
Clinic/Center (Research)
2121 FOUNTAIN DR STE A
SNELLVILLE, GA 30078
Gwinnett County (678) 822-5582
JOSE LUIS DOMINGUEZ MD
Internal Medicine
2121 FOUNTAIN DR STE A
SNELLVILLE, GA 30078
Gwinnett County (770) 736-3008
SONYA DUBOSE SHAHEED FNP-C
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2121 FOUNTAIN DR STE A
SNELLVILLE, GA 30078
Gwinnett County (770) 736-3008

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 Primary Care, LLC's NPI number?

The NPI number for Premier Primary Care, LLC is 1154887925. It was assigned to this organization in the NPPES registry on February 15, 2019.

Where is Premier Primary Care, LLC located?

Premier Primary Care, LLC is located at 2121 Fountain Dr Ste A, Snellville, GA 30078. The listed phone number is (770) 736-3008.

What is Premier Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Premier Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2163287) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Primary Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premier Primary Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Primary Care, LLC was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.