Premiere Dermatology and Surgery, LLC
NPI 1518163310 · Dermatology Physician · Lilburn, GA
Premiere Dermatology and Surgery, LLC is a Dermatology Physician organization in Lilburn, GA (NPI 1518163310).
Provider details
- NPI number
- 1518163310
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Boutte, Practice Manager(404) 218-9671
- License
- 39318 (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
Other names (DBA / former)
- Former legal business name
- Premere Dermatology and Surgery, LLC
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2015-06-17
Frequently asked questions
- What is Premiere Dermatology and Surgery, LLC's NPI number?
- Premiere Dermatology and Surgery, LLC's National Provider Identifier (NPI) is 1518163310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premiere Dermatology and Surgery, LLC?
- Premiere Dermatology and Surgery, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Premiere Dermatology and Surgery, LLC located?
- Premiere Dermatology and Surgery, LLC's practice location on file with NPPES is 4650 Stone Mountain Hwy, Lilburn, GA 30047.
- What is Premiere Dermatology and Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Premiere Dermatology and Surgery, LLC is (678) 344-2450.
- Who is the authorized official for Premiere Dermatology and Surgery, LLC?
- The authorized official listed on Premiere Dermatology and Surgery, LLC's NPPES record is Paul Boutte, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premiere Dermatology and Surgery, LLC's NPI active?
- Yes — Premiere Dermatology and Surgery, LLC's NPI (1518163310) is active in the NPPES registry as of the last update on 2015-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.