1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Clinic Center
  6. NPI Profile

PREMISE HEALTH OF TENNESSEE MEDICAL PC
NPI 1215500483
Clinic/Center - Multi-Specialty in Kingsport, TN

Active since July 23, 2021CLIA 44D2062360 · Waiver
415 BROAD ST STE 644, KINGSPORT, TN 37660(423) 343-9851(423) 343-9851 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Sep 15, 2022, Nov 3, 2021 and 1 more (4 updates tracked since 2021).

About Premise Health Of Tennessee Medical Pc NPPES

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

PREMISE HEALTH OF TENNESSEE MEDICAL PC (NPI 1215500483), doing business as City Of Kingsport, is a healthcare organization registered as a multi-specialty in Kingsport, Tennessee and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1215500483
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF TENNESSEE MEDICAL PC
Location Address415 BROAD ST STE 644Kingsport, TN 37660-4207
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Phone(423) 343-9851
Fax(423) 343-9851
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 23, 2021
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1215500483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
415 BROAD ST STE 644, Kingsport, TN 37660
Open in Google Maps ↗

Other Names 1

Doing Business AsCity Of Kingsport

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 44D2062360

Premise Health Of Tennessee Medical, PC · Kingsport, TN
Active · expires Jul 15, 2027
CLIA Number44D2062360
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorBarry Workman
Laboratory Phone(423) 597-6076
Laboratory LocationPremise Health Of Tennessee Medical, PC415 Broad Street, Suite 644, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Tennessee Medical PC's NPI number?

The NPI number for Premise Health Of Tennessee Medical PC is 1215500483. It was assigned to this organization in the NPPES registry on July 23, 2021. The provider is doing business as City of Kingsport.

Where is Premise Health Of Tennessee Medical PC located?

Premise Health Of Tennessee Medical PC is located at 415 Broad St Ste 644, Kingsport, TN 37660. The listed phone number is (423) 343-9851.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Tennessee Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2062360) is associated with this NPI, valid through July 15, 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 Tennessee Medical PC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.