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

Premium Care Med Group Inc

Organization Internal Medicine Physician · NPI 1295965986

Premium Care Med Group Inc is an Internal Medicine Physician in Covington, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3828 Salem Rd Ste 200
Covington, GA 30016-4528
Phone: (404) 422-8719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 029068 (GA)

Record details

NPI number1295965986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Pennel — Ceo · (404) 422-8719
NPI enumeratedJuly 16, 2009
Last updated in NPPESJuly 16, 2009
Mailing address3828 Salem Rd, Suite 200, Covington, GA 30016-4528

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