PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
NPI 1295584654
Clinic/Center - Multi-Specialty in Atlanta, GA

Q: 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.

Active since May 16, 2024CLIA 11D2302732 · Waiver

HARTSFIELD-JACKSON ATLANTA INTERNATIONAL AIRPORT (A), 6000 N TERMINAL PKWY (SOUTH TERMINAL), ATLANTA, GA 30320(404) 773-7480(404) 714-1275 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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 1295584654), doing business as Careport At Health Central, is a healthcare organization registered as a multi-specialty in Atlanta, Georgia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1295584654

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL, P.C.

Location AddressHARTSFIELD-JACKSON ATLANTA INTERNATIONAL AIRPORT (A), 6000 N TERMINAL PKWY (SOUTH TERMINAL)Atlanta, GA 30320

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(404) 773-7480

Fax(404) 714-1275

Organization SubpartNo

Authorized OfficialJonathan LeizmanPresident · (615) 468-6270

Enumeration DateMay 16, 2024

NPPES CertifiedMay 9, 2024

✔ NPI 1295584654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

HARTSFIELD-JACKSON ATLANTA INTERNATIONAL AIRPORT (A), Atlanta, GA 30320

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Other Names 1

Doing Business AsCareport At Health Central

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 11D2302732

Premise Health Of Georgia Medical PC · Atlanta, GA

Active · expires Apr 15, 2028

CLIA Number11D2302732

Laboratory TypePhysician Office

Certificate Effective DateApril 16, 2026

Certificate Expiration DateApril 15, 2028

Laboratory DirectorKenya Miles

Laboratory Phone(404) 773-7480

Laboratory LocationPremise Health Of Georgia Medical PC6000 S Terminal Pkwy, Ramp Level A28, Atlanta, GA 30320

CLIA data matches this NPI record on: Name Phone

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 Georgia Medical, P.C.'s NPI number?

The NPI number for Premise Health Of Georgia Medical, P.C. is 1295584654. It was assigned to this organization in the NPPES registry on May 16, 2024. The provider is doing business as CarePort at Health Central.

Where is Premise Health Of Georgia Medical, P.C. located?

Premise Health Of Georgia Medical, P.C. is located at Hartsfield-Jackson Atlanta International Airport (a) 6000 N Terminal Pkwy (south Terminal), Atlanta, GA 30320. The listed phone number is (404) 773-7480.

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 11D2302732) is associated with this NPI, valid through April 15, 2028. 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 May 16, 2024. 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.