PREMIER HEALTHCARE PROVIDERS, LLC
NPI 1326672734
Nurse Practitioner - Adult Health in Ellenwood, GA

Q: What is Premier Healthcare Providers, LLC's NPI number?

The NPI number for Premier Healthcare Providers, LLC is 1326672734. It was assigned to this organization in the NPPES registry on February 24, 2020.

Q: What is Premier Healthcare Providers, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since February 24, 2020

3962 BUSBY MILL CT, ELLENWOOD, GA 30294(404) 314-7295 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Premier Healthcare Providers, Llc NPPES

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

PREMIER HEALTHCARE PROVIDERS, LLC (NPI 1326672734) is a healthcare organization registered as an adult health in Ellenwood, Georgia and active in the NPI registry since February 2020. The organization lists Gwendolyn Elaine Montgomery, Np, as its authorized official.

NPPES Registry Identity

NPI1326672734

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NamePREMIER HEALTHCARE PROVIDERS, LLC

Location Address3962 BUSBY MILL CTEllenwood, GA 30294-2052

Mailing Address3962 Busby Mill CtEllenwood, GA 30294-2052 · (404) 314-7295

Phone(404) 314-7295

Organization SubpartNo

Authorized OfficialGwendolyn Elaine MontgomeryNp · (404) 314-7295

Enumeration DateFebruary 24, 2020

✔ NPI 1326672734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

3962 BUSBY MILL CT, Ellenwood, GA 30294

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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

Other Providers at the Same Location NPPES

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

GWENDOLYN ELAINE MONTGOMERY NURSE PRACTITIONER

Nurse Practitioner (Acute Care)

3962 BUSBY MILL CT
ELLENWOOD, GA 30294

Clayton County (404) 314-7295

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 Healthcare Providers, LLC's NPI number?

The NPI number for Premier Healthcare Providers, LLC is 1326672734. It was assigned to this organization in the NPPES registry on February 24, 2020.

Where is Premier Healthcare Providers, LLC located?

Premier Healthcare Providers, LLC is located at 3962 Busby Mill Ct, Ellenwood, GA 30294. The listed phone number is (404) 314-7295.

What is Premier Healthcare Providers, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Premier Healthcare Providers, LLC was last updated on February 24, 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.