PREMIER SOUTH MEDICAL GROUP, P.C.
NPI 1528114295
Family Medicine in Atlanta, GA
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
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 South Medical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Premier South Medical Group, P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 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.
Is Premier South Medical Group, P.C. enrolled in Medicare?
Yes. Premier South Medical Group, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier South Medical Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Premier South Medical Group, P.C., in Family Practice, 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.
What insurance does Premier South Medical Group, P.C. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premier South Medical Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Premier South Medical Group, P.c. · NPI 1528114295
Family Medicine organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1528114295 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ewaul Persaud, PRESIDENT
## Practice location
- **Address:** 3885 PRINCETON LAKES WAY SW, SUITE 412, Atlanta, GA 30331-5589
- **Phone:** (404) 344-6000 · **Fax:** (404) 344-6575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2016
- **Other identifiers:** Medicaid 00318272A (GA); Medicare UPIN 202G704025 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1528114295) · Data from the CMS NPPES public registry.