Premier Internal Medicine Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER INTERNAL MEDICINE SERVICES LLC

Practice address

930 New Hope Rd
Lawrenceville, GA 30045-6407

Phone

(770) 284-6767

NPI assigned

Nov 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sowmya Barrela, MDNPI 1811371461

Title

Physician

Phone

(517) 755-7519

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sowmya Barrela, M.D.

  • Hospitalist Physician
  • Roswell, GA
  • NPI 1811371461

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Praveen Vemula, MD

  • Hospitalist Physician
  • Lansing, MI
  • NPI 1891958922

  GA, Internal Medicine

  Medicare reassignment NPD
• Ashley Banks, FNP-C

  • Family Nurse Practitioner
  • Braselton, GA
  • NPI 1073126439
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1487478251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DODD LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053973",
            "telephone_number": "646-708-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 NEW HOPE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456407",
            "telephone_number": "770-284-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "BARRELA",
        "authorized_official_first_name": "SOWMYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-755-7519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Alexander Prentice, OT

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.