P Praxis·MD
● Active Type 2 · Organization

Premiere Dermatology And Surgery, Llc

Dermatology·Lilburn, GA· NPI 1518163310 · Enumerated 2007 · 18 years on NPI
Premiere Dermatology And Surgery, Llc is 1 of 483 dermatology organizations in Georgia.
NPI age
18 years
Enumerated 2007-06-27
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boutte
Practice Manager
Last NPPES update
2015-06-17
Source: monthly bulk 2026-05

How this organization compares

Across 483 active dermatology providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4650 Stone Mountain Hwy
Lilburn, GA 30047
📞 6783442450fax 6783442501
Mailing address
4650 Stone Mountain Hwy
Lilburn, GA 30047
📞 6783442450fax 6783442501

Authorized official

Paul Boutte
Practice Manager
📞 4042189671

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #39318 taxonomy 207N00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Premere Dermatology and Surgery, LLC
    Type code 4 recorded 2015-06-17

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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