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PREMIER MEDICAL ASSOCIATES PC
NPI 1376600825
Internal Medicine in Cumming, GA

Active since January 03, 2007CLIA 11D1036459 · Waiver
407 E MAPLE ST, SUITE 101, CUMMING, GA 30040(770) 888-6697(770) 888-6698 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Medical Associates Pc NPPES

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

PREMIER MEDICAL ASSOCIATES PC (NPI 1376600825) is a healthcare organization registered as an internal medicine in Cumming, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Ludy Lukose, Owner, as its authorized official.

NPPES Registry Identity

NPI1376600825
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER MEDICAL ASSOCIATES PC
Location Address407 E MAPLE ST, SUITE 101Cumming, GA 30040-2656
Mailing Address407 E Maple St, Suite 101Cumming, GA 30040-2635 · (770) 888-6697 · Fax (770) 888-6698
Phone(770) 888-6697
Fax(770) 888-6698
Organization SubpartNo
Authorized OfficialLudy LukoseOwner · (770) 888-6697
Enumeration DateJanuary 3, 2007
Last NPPES UpdateApril 6, 2017
✔ NPI 1376600825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 054743
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.
407 E MAPLE ST, Cumming, GA 30040
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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP6994GA

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 Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premier Medical Associates PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ludy Lukose, M.D
Internal Medicine
NPI 1023258274
407 EAST MAPLE STREET SUITE 101
Cumming, GA 30040
(770) 888-6697
✔ PECOS✔ Accepts MedicareSame address
Rhonda Dennis, NP-C
Nurse Practitioner
NPI 1295351294
6002 HIGHWAY 53 E STE 100
Dawsonville, GA 30534
(706) 265-8002
✔ PECOS15 mi

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

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 11D1036459

Premier Medical Associates PC · Cumming, GA
Active · expires Feb 3, 2027
CLIA Number11D1036459
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorAnnette C. Hamilton
Laboratory Phone(770) 888-6697
Laboratory LocationPremier Medical Associates PC407 East Maple Street Suite 101, Cumming, GA 30040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Associates PC's NPI number?

The NPI number for Premier Medical Associates PC is 1376600825. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Premier Medical Associates PC located?

Premier Medical Associates PC is located at 407 E Maple St Suite 101, Cumming, GA 30040. The listed phone number is (770) 888-6697.

What is Premier Medical Associates PC's specialty?

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

Is Premier Medical Associates PC enrolled in Medicare?

Yes. Premier Medical Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Medical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Premier Medical Associates PC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Medical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1036459) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Medical Associates PC was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.