PROMED PREFERRED GA PROFESSIONAL CORPORATION
NPI 1447073283
Internal Medicine in Snellville, GA

Active since October 31, 2024
3832 ZOEY LEE DR, SNELLVILLE, GA 30039(615) 499-3165 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Promed Preferred Ga Professional Corporation NPPES

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

PROMED PREFERRED GA PROFESSIONAL CORPORATION (NPI 1447073283) is a healthcare organization registered as an internal medicine in Snellville, Georgia and active in the NPI registry since October 2024. The organization lists Lev Grinman, President, as its authorized official.

NPPES Registry Identity

NPI1447073283
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROMED PREFERRED GA PROFESSIONAL CORPORATION
Location Address3832 ZOEY LEE DRSnellville, GA 30039-5266
Mailing Address329 S Oyster Bay Rd # 2059Plainview, NY 11803-3301
Organization SubpartNo
Authorized OfficialLev GrinmanPresident · (615) 499-3165
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1447073283 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.
3832 ZOEY LEE DR, Snellville, GA 30039

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Promed Preferred Ga Professional Corporation 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 Promed Preferred Ga Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1629440607
1430 US HIGHWAY 82 W SUITE 105
Tifton, GA 31793
(229) 388-0266
✔ PECOS✔ Accepts Medicare165 mi
Internal Medicine
NPI 1295485373
3100 N TENAYA WAY
Las Vegas, NV 89128
(702) 962-9549
✔ PECOS1,772 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 Promed Preferred Ga Professional Corporation's NPI number?

The NPI number for Promed Preferred Ga Professional Corporation is 1447073283. It was assigned to this organization in the NPPES registry on October 31, 2024.

Where is Promed Preferred Ga Professional Corporation located?

Promed Preferred Ga Professional Corporation is located at 3832 Zoey Lee Dr, Snellville, GA 30039. The listed phone number is (615) 499-3165.

What is Promed Preferred Ga Professional Corporation's specialty?

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

Is Promed Preferred Ga Professional Corporation enrolled in Medicare?

Yes. Promed Preferred Ga Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promed Preferred Ga Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Promed Preferred Ga Professional Corporation, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Promed Preferred Ga Professional Corporation was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.