# PREMIER SOUTH MEDICAL GROUP, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528114295
- **Authorized official:** DR. EWAUL BARRINGTON PERSAUD JR. M.D. (PRESIDENT)
- **Authorized official phone:** (404) 344-6000

## Contact information

- **Practice address:** 3885 PRINCETON LAKES WAY SW, SUITE 412, ATLANTA, GA 30331-5589
- **Practice address phone:** (404) 344-6000
- **Practice address fax:** (404) 344-6575
- **Mailing address:** 8750 NW 36TH ST, SUITE 300, DORAL, FL 33178-2425
- **Mailing address phone:** (786) 641-5348
- **Mailing address fax:** (305) 615-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 040754 | GA | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 12/19/2016