PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1306196027
Clinic/Center - Primary Care in Gainesville, GA

Active since September 11, 2012CLIA Certified · 2 labs
584 LANIER PARK DR, GAINESVILLE, GA 30501(770) 532-5685(770) 532-8515 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2022, Aug 10, 2017 (2 updates tracked since 2017).

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 1306196027), doing business as Fieldale Farms Family Medical Center, is a healthcare organization registered as a primary care in Gainesville, Georgia and active in the NPI registry since September 2012. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1306196027
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address584 LANIER PARK DRGainesville, GA 30501-2000
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (844) 407-7557
Fax(770) 532-8515
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateSeptember 11, 2012
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1306196027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
584 LANIER PARK DR, Gainesville, GA 30501

Other Names 1

Doing Business AsFieldale Farms Family Medical Center

CLIA Laboratory Certificates CMS CLIA 2

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 11D2049219

Premise Health Of Georgia Medical, PC · Gainesville, GA
Active · expires May 9, 2028
CLIA Number11D2049219
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorTerry Hansen
Laboratory Phone(770) 532-5685
Laboratory LocationPremise Health Of Georgia Medical, PC584 Lanier Park Drive, Gainesville, GA 30501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2145554

Premise Health Of Georgia Medical, PC · Gainesville, GA
Active · expires Mar 11, 2028
CLIA Number11D2145554
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorBrian Forrester
Laboratory Phone(706) 552-2747
Laboratory LocationPremise Health Of Georgia Medical, PC1112 Airport Parkway, Gainesville, GA 30503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Otolaryngology (Otolaryngic Allergy)
584 LANIER PARK DR
GAINESVILLE, GA 30501
Otolaryngology (Otolaryngic Allergy)
584 LANIER PARK DR
GAINESVILLE, GA 30501
Pharmacy
584 LANIER PARK DR
GAINESVILLE, GA 30501
Family Medicine
584 LANIER PARK DR
GAINESVILLE, GA 30501
Otolaryngology (Otolaryngic Allergy)
584 LANIER PARK DR
GAINESVILLE, GA 30501

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 1306196027. It was assigned to this organization in the NPPES registry on September 11, 2012. The provider is doing business as Fieldale Farms Family Medical Center.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 584 Lanier Park Dr, Gainesville, GA 30501. The listed phone number is (770) 532-5685.

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.

Does Premise Health Of Georgia Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Georgia Medical PC was last updated on February 10, 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.