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

Premier South Medical Group, PC

Organization Family Medicine Physician · NPI 1528114295

Premier South Medical Group, PC is a Family Medicine Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3885 Princeton Lakes Way SW Ste 412
Atlanta, GA 30331-5589
Phone: (404) 344-6000
Fax: (404) 344-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 040754 (GA)

Record details

NPI number1528114295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ewaul Persaud — President · (404) 344-6000
NPI enumeratedJanuary 26, 2007
Last updated in NPPESDecember 19, 2016
Mailing address8750 Nw 36th St, Suite 300, Doral, FL 33178-2425

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