PREMIER SOUTH MEDICAL GROUP, P.C.
NPI 1528114295
Family Medicine in Atlanta, GA
NPI Status: Active since January 26, 2007
Contact Information
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
Phone: (404) 344-6000
Fax: (404) 344-6575
- Organization
- Family Medicine
- Accepts Insurance
About PREMIER SOUTH MEDICAL GROUP, P.C.
This page provides the complete NPI Profile along with additional information for Premier South Medical Group, P.c., a primary care provider established in Atlanta, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528114295 assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 040754 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ewaul Barrington Persaud Jr. M.d. (President)
- NPI
- 1528114295
- Provider Name
- PREMIER SOUTH MEDICAL GROUP, P.C.
- Entity Type
- Organization
- Location Address
- 3885 PRINCETON LAKES WAY SW SUITE 412 ATLANTA, GA 30331
- Location Phone
- (404) 344-6000
- Location Fax
- (404) 344-6575
- Mailing Address
- 8750 NW 36TH ST SUITE 300 DORAL, FL 33178
- Mailing Phone
- (786) 641-5348
- Mailing Fax
- (404) 344-6575
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 12-19-2016
- Code Navigator
A primary care provider (PCP) like Premier South Medical Group, P.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 040754
- License State
- GA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00318272A | MEDICAID (05) | GA | |
| 202G704025 | MEDICARE UPIN (02) | GA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 1 | 1 | 4 | 2 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 2 | 1 | 8 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 2 + 1 + 8 + 2 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1528114295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JACQUES LENOEL GORDON DMD
Dentist
(Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW
STE 408
ATLANTA, GA
ZIP 30331
METRO ATLANTA ACCESS CENTER LLC
Internal Medicine
(Nephrology)
3885 PRINCETON LAKES WAY SW
SUITE 314
ATLANTA, GA
ZIP 30331
PRINCETON LAKES INTERNAL MEDICINE
Specialist
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
DR. CHARIS JEWELLE TRENCH-SIMMONS M.D.
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
SOUTHWEST MAXILLOFACIAL SURGERY & IMPLANT CENTER
Dentist
(Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW
406
ATLANTA, GA
ZIP 30331
CAMP CREEK WOMEN'S HEALTH CENTER, LLC
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
GRACE MEDICAL PRACTICE LLC
Clinic/Center
(Primary Care)
3885 PRINCETON LAKES WAY SW
SUITE 402
ATLANTA, GA
ZIP 30331
LISA C PERRY-GILKES M.D.
Otolaryngology
3885 PRINCETON LAKES WAY SW
SUITE 312A
ATLANTA, GA
ZIP 30331
PICKENS ANDREW PATTERSON III MD
Pain Medicine
(Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA
ZIP 30331
CAMP CREEK LLC
Specialist
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA
ZIP 30331
SOUTHERN CRESCENT PHYSICIANS GROUP, INC
Psychiatry & Neurology
(Neurology)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
S.VAL PLASTIC SURGERY P.C.
Plastic Surgery
3885 PRINCETON LAKES WAY SW
SUITE 312
ATLANTA, GA
ZIP 30331
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Pain Medicine
(Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
SOUTHCARE PHYSICIANS GROUP OBSTETRICS & GYNECOLOGY
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW
SUITE 412
ATLANTA, GA
ZIP 30331
SOUTHWEST ATLANTA VASCULAR CARE, LLC
Surgery
(Vascular Surgery)
3885 PRINCETON LAKES WAY SW
SUITE 314
ATLANTA, GA
ZIP 30331
ISPM ASC AT CAMP CREEK LLC
Clinic/Center
(Ambulatory Surgical)
3885 PRINCETON LAKES WAY SW
SUITE 400
ATLANTA, GA
ZIP 30331
ISPM ASC AT CAMP CREEK LLC
Clinic/Center
(Ambulatory Surgical)
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA
ZIP 30331
MRS. PHAEDRA D SIMMONS CRNA
Nurse Anesthetist, Certified Registered
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine
3885 PRINCETON LAKES WAY SW
SUITE 300
ATLANTA, GA
ZIP 30331
PRINCETON LAKES PEDIATRICS, LLC
Pediatrics
3885 PRINCETON LAKES WAY SW
SUITE 302
ATLANTA, GA
ZIP 30331
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528114295, enumerated as an "organization" on January 26, 2007.
The provider is located at 3885 PRINCETON LAKES WAY SW SUITE 412 ATLANTA, GA 30331 and the phone number is (404) 344-6000.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.
