NPI age
3 years
Enumerated 2023-03-06
● Active Type 2 · Organization
Premium Life Medical Center Llc
Premium Life Medical Center Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ramirez
Doctor Manager
Last NPPES update
2023-03-06
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
3 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
639 Beaver Ruin Rd Nw Ste A
Lilburn, GA 300473473
Mailing address
639 Beaver Ruin Rd Nw Ste A
Lilburn, GA 300473473
Authorized official
Raymond Ramirez, MD
Doctor Manager
📞 6783953443
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Glenda Menendez, FNP-C Nurse Practitioner NPI 1891471322
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.