Premier Women's Gyn, LLC – Gynecology Physician, NPI 1295360949

Premier Women's Gyn, LLC is a healthcare provider. based in Fayetteville, Georgia. specializing in Gynecology Physician. The NPI Number for Premier Women's Gyn, LLC is 1295360949

Main info

Organization
Name
Premier Women's Gyn, LLC
NPI
1295360949
Phone
(770) 629-2702
Address
300 GLYNN STREET SOUTH
Authorized Official
TRACEY ST. JULIAN PHYSICIAN OWNER MD
Enumeration Date
3 March 2020
Last Update Date
21 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Premier Women's Gyn, LLC

  • 300 GLYNN STREET SOUTH

    FAYETTEVILLE, GA 30214

    Phone: (770) 629-2702

    Fax: (770) 909-5004

    Type: Mailing

  • 237 UPPER RIVERDALE RD SW

    RIVERDALE, GA 302742537

    Phone: (770) 909-5003

    Fax: (770) 909-5004

    Type: Mailing

  • 101 YORKTOWN DR STE 224

    FAYETTEVILLE, GA 302141578

    Phone: (770) 909-5003

    Fax: (770) 909-5004

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

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Reviews

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Frequently asked questions

Can I use this page to confirm Premier Women's Gyn, LLC's NPI?
Yes. Premier Women's Gyn, LLC is listed with NPI 1295360949 in the public NPI dataset.
Can I rely on Premier Women's Gyn, LLC being an active provider?
As of the registry snapshot, Premier Women's Gyn, LLC is marked active.
What healthcare role does Premier Women's Gyn, LLC hold?
Scheduling teams often label Premier Women's Gyn, LLC under Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is Premier Women's Gyn, LLC based?
Premier Women's Gyn, LLC is tied to Fayetteville, Georgia in the data we show; additional addresses may exist on the full record.
Why does Premier Women's Gyn, LLC have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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