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Premier Womens Obgyn, LLC

Obstetrics & Gynecology Physician in Riverdale, GA · enumerated 2007 · authorized official Tracey Blander, Practice Management Consultant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083819429

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Womens Obgyn, LLC
Practice address 237 Upper Riverdale Rd Sw, Riverdale, GA, 30274
Fax (770) 909-5004
Enumeration date Jun 17, 2007
Last updated in NPPES Mar 4, 2020

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 054127 (GA) Primary

Authorized official

Name Tracey Blander
Title Practice Management Consultant

Other identifiers

Identifier Type State Issuer
547811054A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Premier Womens Obgyn, LLC?
NPPES lists Tracey Blander (Practice Management Consultant) as the authorized official for this organization.
What is the NPI number for Premier Womens Obgyn, LLC?
The NPI for Premier Womens Obgyn, LLC is 1083819429, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-04.