Premier Womens Obgyn, LLC
NPI 1083819429 · Obstetrics & Gynecology Physician · Riverdale, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Womens Obgyn, LLC is a Obstetrics & Gynecology Physician organization in Riverdale, GA (NPI 1083819429).
Provider details
- NPI number
- 1083819429
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracey Blander, Practice Management Consultant(770) 716-6203
- License
- 054127 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-17
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Frequently asked questions
- What is Premier Womens Obgyn, LLC's NPI number?
- Premier Womens Obgyn, LLC's National Provider Identifier (NPI) is 1083819429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Womens Obgyn, LLC?
- Premier Womens Obgyn, LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Womens Obgyn, LLC located?
- Premier Womens Obgyn, LLC's practice location on file with NPPES is 237 Upper Riverdale Rd Sw, Riverdale, GA 30274-2537.
- What is Premier Womens Obgyn, LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Womens Obgyn, LLC is (770) 909-5003.
- Does Premier Womens Obgyn, LLC accept Medicare?
- Premier Womens Obgyn, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Womens Obgyn, LLC?
- The authorized official listed on Premier Womens Obgyn, LLC's NPPES record is Tracey Blander, Practice Management Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Womens Obgyn, LLC's NPI active?
- Yes — Premier Womens Obgyn, LLC's NPI (1083819429) is active in the NPPES registry as of the last update on 2020-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.