Organization Active NPI

Premium Wound Care Pros Inc

  • Wound Care Registered Nurse
  • Lawrenceville, GA
National Provider Identifier
1689569303
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
PREMIUM WOUND CARE PROS INC
Practice address
1588 Atkinson Rd
Lawrenceville, GA 30043-7963
Phone
(404) 545-6888
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Ms. Gianina Walker
Title
President
Phone
(404) 545-6888

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Medical Specialty Clinic/Center 261QM2500X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1588 Atkinson Rd
Lawrenceville, GA 30043-7963

Mailing address

2231 Hunters Green Dr
Lawrenceville, GA 30043-5182
Phone (404) 545-6888

National Provider Directory

National Provider Directory

Locations

1588 Atkinson Rd
Lawrenceville, GA 30043
Phone (404) 545-6888

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1689569303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 HUNTERS GREEN DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435182",
            "telephone_number": "404-545-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 ATKINSON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437963",
            "telephone_number": "404-545-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM WOUND CARE PROS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GIANINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-545-6888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.