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PREMIER SOUTH MEDICAL GROUP PC
NPI 1669916573
Family Medicine in Newnan, GA

Active since December 12, 2016
770 GREISON TRL, SUITE F, NEWNAN, GA 30263(770) 251-4120(770) 251-4575 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2016, Dec 12, 2016 (2 updates tracked since 2016).

About Premier South Medical Group Pc NPPES

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

PREMIER SOUTH MEDICAL GROUP PC (NPI 1669916573) is a healthcare organization registered as a family medicine in Newnan, Georgia and active in the NPI registry since December 2016. The organization lists Reanna Ramkhelawan, Contracting Specialist, as its authorized official.

NPPES Registry Identity

NPI1669916573
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER SOUTH MEDICAL GROUP PC
Location Address770 GREISON TRL, SUITE FNewnan, GA 30263-6408
Mailing Address8750 Nw 36th St, Suite 300Doral, FL 33178-2425 · (786) 641-5348 · Fax (305) 615-1121
Phone(770) 251-4120
Fax(770) 251-4575
Organization SubpartNo
Authorized OfficialReanna RamkhelawanContracting Specialist · (786) 281-2398
Enumeration DateDecember 12, 2016
Last NPPES UpdateDecember 19, 20162 updates tracked since enumeration
✔ NPI 1669916573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
770 GREISON TRL, Newnan, GA 30263
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Other Identifiers 2

Medicaid003182726AGA
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 5

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

DR. MELISSA MCCLEARY PHARMD
Pharmacist
770 GREISON TRL, SUITE H
NEWNAN, GA 30263
Coweta County (678) 671-2009
TAMARA NICHOLE WOODS LPC
Counselor
770 GREISON TRL, SUITE A
NEWNAN, GA 30263
Coweta County (770) 683-9096
PHYSICIANS RX PHARMACY OF NEWMAN LLC
Pharmacy (Community/Retail Pharmacy)
770 GREISON TRL
NEWNAN, GA 30263
Coweta County (404) 870-7748
NEIGHBORMD OF NEWNAN LLC
General Practice
770 GREISON TRL
NEWNAN, GA 30263
Coweta County (770) 251-4120
MRS. BRINDA ANN MARTIN LPC
Counselor
770 GREISON TRL, SUITE A
NEWNAN, GA 30263
Coweta County (770) 683-9096

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 PC's NPI number?

The NPI number for Premier South Medical Group PC is 1669916573. It was assigned to this organization in the NPPES registry on December 12, 2016.

Where is Premier South Medical Group PC located?

Premier South Medical Group PC is located at 770 Greison Trl Suite F, Newnan, GA 30263. The listed phone number is (770) 251-4120.

What is Premier South Medical Group PC'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 PC 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.