PREMIER SOUTH MEDICAL GROUP, P.C.
NPI 1528114295
Family Medicine in Atlanta, GA

Active since January 26, 2007
3885 PRINCETON LAKES WAY SW, SUITE 412, ATLANTA, GA 30331(404) 344-6000(404) 344-6575 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier South Medical Group, P.c. NPPES

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

PREMIER SOUTH MEDICAL GROUP, P.C. (NPI 1528114295) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since January 2007. The organization lists Ewaul Barrington Persaud, President, as its authorized official.

NPPES Registry Identity

NPI1528114295
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER SOUTH MEDICAL GROUP, P.C.
Location Address3885 PRINCETON LAKES WAY SW, SUITE 412Atlanta, GA 30331-5589
Mailing Address8750 Nw 36th St, Suite 300Doral, FL 33178-2425 · (786) 641-5348 · Fax (305) 615-1121
Fax(404) 344-6575
Organization SubpartNo
Authorized OfficialEwaul Barrington PersaudPresident · (404) 344-6000
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 19, 2016
NPI 1528114295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 040754
Definition
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.
3885 PRINCETON LAKES WAY SW, Atlanta, GA 30331

Other Identifiers 2

Medicaid00318272AGA
Medicare UPIN202G704025GA

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 20

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

Dentist (Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW, 406
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Pain Medicine (Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Pain Medicine (Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW, SUITE 225
ATLANTA, GA 30331
Specialist
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Psychiatry & Neurology (Neurology)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331

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 South Medical Group, P.C.'s NPI number?

The NPI number for Premier South Medical Group, P.C. is 1528114295. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Premier South Medical Group, P.C. located?

Premier South Medical Group, P.C. is located at 3885 Princeton Lakes Way SW Suite 412, Atlanta, GA 30331. The listed phone number is (404) 344-6000.

What is Premier South Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Premier South Medical Group, P.C. was last updated on December 19, 2016. 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.