PREMIER WOMEN'S HEALTHCARE LLC
NPI 1649460940
Specialist in Lithonia, GA

NPI Status: Active since August 01, 2007

Contact Information

5900 HILLANDALE DR STE 325
LITHONIA, GA
ZIP 30058
Phone: (678) 418-6990
Fax: (678) 418-6986

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  • Organization
  • Specialist
  • CLIA Number: 11D1040018
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-26-2027

About PREMIER WOMEN'S HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Premier Women's Healthcare Llc, a provider established in Lithonia, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1649460940 assigned on August 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dominique J. Smith Md (Medical Doctor/owner/member)

NPI
1649460940
Provider Name
PREMIER WOMEN'S HEALTHCARE LLC
Entity Type
Organization
Location Address
5900 HILLANDALE DR STE 325 LITHONIA, GA 30058
Location Phone
(678) 418-6990
Location Fax
(678) 418-6986
Mailing Address
5900 HILLANDALE DR STE 325 LITHONIA, GA 30058
Mailing Phone
(678) 418-6990
Mailing Fax
(678) 418-6986
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2007
Last Update Date
07-08-2021
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DOMINIQUE J. SMITH MD

Authorized Official Title
MEDICAL DOCTOR/OWNER/MEMBER
Authorized Official Phone
(678) 418-6990

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
000740737IMEDICAID (05)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1040018
Facility Type
Physician Office
Certificate Effective Date
April 27, 2025
Certificate Expiration Date
April 26, 2027
Laboratory Director
DOMINIQUE SMITH
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Premier Women's Healthcare Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649460940, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 8 + 6 + 0 + 9 + 8 + 24 = 80

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 80 is 80. The difference is the calculated check digit.

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1649460940.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
5900 HILLANDALE DR STE 325
LITHONIA, GA 30058
Urology
5900 HILLANDALE DR STE 325
LITHONIA, GA 30058
Technician
5900 HILLANDALE DR STE 325
LITHONIA, GA 30058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649460940, enumerated as an "organization" on August 01, 2007.

The provider is located at 5900 HILLANDALE DR STE 325 LITHONIA, GA 30058 and the phone number is (678) 418-6990.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.