Premier Women'S Healthcare LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER WOMEN'S HEALTHCARE LLC

Practice address

5900 Hillandale Dr Ste 325
Lithonia, GA 30058-3892

Phone

(678) 418-6990

Fax

(678) 418-6986

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dominique J. Smith, MDNPI 1700871241

Title

Medical Doctor/Owner/Member

Phone

(678) 418-6990

Specialties & licenses 1

Addresses

Other identifiers 1

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 2

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

• Dominique J. Smith, MD

  • Obstetrics & Gynecology Physician
  • Lithonia, GA
  • NPI 1700871241
  Medicare reassignment Authorized official
• Barbelyne Nerette

  • Technician
  • Lithonia, GA
  • NPI 1649936857
  NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1649460940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR STE 325",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583892",
            "telephone_number": "678-418-6990",
            "fax_number": "678-418-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR STE 325",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583892",
            "telephone_number": "678-418-6990",
            "fax_number": "678-418-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMEN'S HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER/MEMBER",
        "authorized_official_telephone_number": "678-418-6990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000740737I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Powell
• Allison Prad, MASSAGE THERAPIST
• Precious Jewel
• Preferred Vascular Services Southeast LLC
• Premier Aesthetics
• Presidential Care Inc.
• Priority Health Plus Care,Inc
• Professional Dental Alliance of Lithonia, LLC
• Professional Nursing Services
• Tawana Diane Pruitt, MPA, RBT

• Specialist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.