PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
NPI 1013790989
Clinic/Center - Multi-Specialty in Marietta, GA
About Premise Health Of Georgia Medical, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF GEORGIA MEDICAL, P.C. (NPI 1013790989), doing business as The Wellness Center Operated By Premise Health Marietta North, is a healthcare organization registered as a multi-specialty in Marietta, Georgia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Will Wright, Legal Counsel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D0672722
Premise Health Of Georgia Medical, PC · Marietta, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Premise Health Of Georgia Medical, P.C.'s NPI number?
The NPI number for Premise Health Of Georgia Medical, P.C. is 1013790989. It was assigned to this organization in the NPPES registry on August 15, 2023. The provider is doing business as The Wellness Center Operated by Premise Health Marietta North.
Where is Premise Health Of Georgia Medical, P.C. located?
Premise Health Of Georgia Medical, P.C. is located at 86 South Cobb Drive Mail Drop 0454, Marietta, GA 30063. The listed phone number is (770) 494-4131.
What is Premise Health Of Georgia Medical, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of Georgia Medical, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0672722) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Premise Health Of Georgia Medical, P.C. was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Premise Health Of Georgia Medical, P.c. · NPI 1013790989
Multi-Specialty organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since August 15, 2023.
## Identity
- **NPI:** 1013790989 (Entity type: Organization)
- **Enumerated:** August 15, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** The Wellness Center Operated by Premise Health Marietta North (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Will Wright, LEGAL COUNSEL
## Practice location
- **Address:** 86 SOUTH COBB DRIVE MAIL DROP 0454, Marietta, GA 30063-0001
- **Phone:** (770) 494-4131 · **Fax:** (770) 494-7490
## Record status
- **NPPES last updated:** August 15, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013790989) · Data from the CMS NPPES public registry.