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

Q: What is Premier Women's Healthcare LLC's NPI number?

The NPI number for Premier Women's Healthcare LLC is 1649460940. It was assigned to this organization in the NPPES registry on August 1, 2007.

Q: What is Premier Women's Healthcare LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 01, 2007CLIA 11D1040018 · Microscopy

5900 HILLANDALE DR STE 325, LITHONIA, GA 30058(678) 418-6990(678) 418-6986 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Premier Women's Healthcare Llc NPPES

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

PREMIER WOMEN'S HEALTHCARE LLC (NPI 1649460940) is a healthcare organization registered as a specialist in Lithonia, Georgia and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through April 26, 2027 and lists Dominique J. Smith, Medical Doctor/owner/member, as its authorized official.

NPPES Registry Identity

NPI1649460940

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePREMIER WOMEN'S HEALTHCARE LLC

Location Address5900 HILLANDALE DR STE 325Lithonia, GA 30058-3892

Mailing Address5900 Hillandale Dr Ste 325Lithonia, GA 30058-3892 · (678) 418-6990 · Fax (678) 418-6986

Phone(678) 418-6990

Fax(678) 418-6986

Organization SubpartNo

Authorized OfficialDominique J. SmithMedical Doctor/owner/member · (678) 418-6990

Enumeration DateAugust 1, 2007

Last NPPES UpdateJuly 8, 2021

NPPES CertifiedJuly 8, 2021

✔ NPI 1649460940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

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.

5900 HILLANDALE DR STE 325, Lithonia, GA 30058

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Other Identifiers 1

Medicaid000740737IGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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 Women's Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Women's Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dominique Smith, MD

Obstetrics/Gynecology

NPI 1700871241

5900 HILLANDALE DR STE 325
Lithonia, GA 30058

(678) 418-6990

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1040018

Premier Women's Healthcare LLC · Lithonia, GA

Active · expires Apr 26, 2027

CLIA Number11D1040018

Laboratory TypePhysician Office

Certificate Effective DateApril 27, 2025

Certificate Expiration DateApril 26, 2027

Laboratory DirectorDominique Smith

Laboratory Phone(678) 478-6990

Laboratory LocationPremier Women's Healthcare LLC5900 Hillandale Drive Suite 325, Lithonia, GA 30058

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Women's Healthcare LLC's NPI number?

The NPI number for Premier Women's Healthcare LLC is 1649460940. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Premier Women's Healthcare LLC located?

Premier Women's Healthcare LLC is located at 5900 Hillandale Dr Ste 325, Lithonia, GA 30058. The listed phone number is (678) 418-6990.

What is Premier Women's Healthcare LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Premier Women's Healthcare LLC enrolled in Medicare?

Yes. Premier Women's Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Women's Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Premier Women's Healthcare LLC. 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.

Does Premier Women's Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1040018) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Women's Healthcare LLC accept?

Health plans from Ambetter Health list Premier Women's Healthcare LLC 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 Women's Healthcare LLC was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.