Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Healthcare Providers, LLC

Organization Adult Health Nurse Practitioner · NPI 1326672734

Premier Healthcare Providers, LLC is an Adult Health Nurse Practitioner in Ellenwood, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3962 Busby Mill Ct
Ellenwood, GA 30294-2052
Phone: (404) 314-7295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1326672734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwendolyn Montgomery — Np · (404) 314-7295
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address3962 Busby Mill Ct, Ellenwood, GA 30294-2052

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