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

Jose Luis Dominguez, MD

Individual provider Internal Medicine Physician · NPI 1295835775

Jose Luis Dominguez, MD is an Internal Medicine in Snellville, Georgia. Qualified in 1985, 41 years ago. Practices with Premier Primary Care, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
41
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2121 Fountain Dr Ste A
Snellville, GA 30078-2900
Phone: (770) 736-3008
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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 36190 (GA)

Record details

NPI number1295835775
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESApril 15, 2019
Mailing address4517 Lavista Rd, Tucker, GA 30084-4208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Premier Primary Care, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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