PREMIUM LIFE MEDICAL CENTER LLC
NPI 1275233611
Clinic/Center - Primary Care in Lilburn, GA

Q: What is Premium Life Medical Center LLC's NPI number?

The NPI number for Premium Life Medical Center LLC is 1275233611. It was assigned to this organization in the NPPES registry on March 6, 2023.

Q: What is Premium Life Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 06, 2023

639 BEAVER RUIN RD NW STE A, LILBURN, GA 30047(678) 395-3443(770) 837-2426 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Premium Life Medical Center Llc NPPES

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

PREMIUM LIFE MEDICAL CENTER LLC (NPI 1275233611) is a healthcare organization registered as a primary care in Lilburn, Georgia and active in the NPI registry since March 2023. The organization lists Raymond Ramirez, Doctor Manager, as its authorized official.

NPPES Registry Identity

NPI1275233611

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePREMIUM LIFE MEDICAL CENTER LLC

Location Address639 BEAVER RUIN RD NW STE ALilburn, GA 30047-3473

Mailing Address639 Beaver Ruin Rd Nw Ste ALilburn, GA 30047-3473 · (678) 395-3443 · Fax (770) 837-2426

Phone(678) 395-3443

Fax(770) 837-2426

Organization SubpartNo

Authorized OfficialRaymond RamirezDoctor Manager · (678) 395-3443

Enumeration DateMarch 6, 2023

NPPES CertifiedMarch 5, 2023

✔ NPI 1275233611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

639 BEAVER RUIN RD NW STE A, Lilburn, GA 30047

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Other Providers at the Same Location NPPES

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

GLENDA PATRICIA MENENDEZ FNP-C

Nurse Practitioner (Family)

639 BEAVER RUIN RD NW STE A
LILBURN, GA 30047

Gwinnett County (678) 395-3443

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 Premium Life Medical Center LLC's NPI number?

The NPI number for Premium Life Medical Center LLC is 1275233611. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Premium Life Medical Center LLC located?

Premium Life Medical Center LLC is located at 639 Beaver Ruin Rd NW Ste A, Lilburn, GA 30047. The listed phone number is (678) 395-3443.

What is Premium Life Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Premium Life Medical Center LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.