P Praxis·MD
● Active Type 2 · Organization

Premier Internal Medicine

Internal Medicine·Hiram, GA· NPI 1659494847 · Enumerated 2007 · 19 years on NPI
Premier Internal Medicine is 1 of 5027 internal medicine organizations in Georgia.
NPI age
19 years
Enumerated 2007-04-10
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Breckwoldt
Medical Director
Last NPPES update
2010-09-29
Source: monthly bulk 2026-05

How this organization compares

Across 5027 active internal medicine providers in Georgia.

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

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
5604 Wendy Bagwell Pkwy, Ste 711
Hiram, GA 301417813
📞 6783840800fax 6783840801
Mailing address
5604 Wendybagwell Pkwy (hwy 278), Suite 711
Hiram, GA 301412291
📞 6783840800fax 6783840801

Authorized official

Richard J Breckwoldt, M.D.
Medical Director
📞 6783840800

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #039295 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 000656103B

Other names on file (1)

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

  • RICHARD J. BRECKWOLDT,M.D.
    Type code 5 recorded 2007-04-10

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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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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