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PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1073092169
Clinic/Center - Primary Care in Reidsville, GA

Active since August 09, 2018
342 E BRAZELL ST, REIDSVILLE, GA 30453(912) 557-1950(912) 557-1953 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Aug 24, 2022, Aug 9, 2018 (3 updates tracked since 2018).

About Premise Health Of Georgia Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF GEORGIA MEDICAL PC (NPI 1073092169), doing business as Canoochee Emc Health & Wellness Center, is a healthcare organization registered as a primary care in Reidsville, Georgia and active in the NPI registry since August 2018. The organization lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1073092169
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address342 E BRAZELL STReidsville, GA 30453-5046
Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048
Phone(912) 557-1950
Fax(912) 557-1953
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 9, 2018
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1073092169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
342 E BRAZELL ST, Reidsville, GA 30453
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Other Names 1

Doing Business AsCanoochee Emc Health & Wellness Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APRIL D MCBROOM NP
Nurse Practitioner
342 E BRAZELL ST
REIDSVILLE, GA 30453
Tattnall County (912) 557-1950
SMG-OCCUPATIONAL HEALTH CLINIC
Clinic/Center (Primary Care)
342 E BRAZELL ST
REIDSVILLE, GA 30453
Tattnall County (912) 557-1950

Frequently 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 PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1073092169. It was assigned to this organization in the NPPES registry on August 9, 2018. The provider is doing business as Canoochee EMC Health & Wellness Center.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 342 E Brazell St, Reidsville, GA 30453. The listed phone number is (912) 557-1950.

What is Premise Health Of Georgia Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Georgia Medical PC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.