NPI age
18 years
Enumerated 2007-07-23
● Active Type 2 · Organization
Premier Medical Group Of Coweta 2llc
Premier Medical Group Of Coweta 2llc is 1 of 730 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holden
Lead
Last NPPES update
2007-07-23
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2700 Highway 34 E Bldg 300
Newnan, GA 302651330
Mailing address
Po Box 468329
Atlanta, GA 311468329
Authorized official
Alicia Holden, ACCOUNTING
Lead
📞 4049430205
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Holly Hicks-Deridder, PA-C Physician Assistant NPI 1578641627
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
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.