PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1306511381
Clinic/Center - Multi-Specialty in Monroe, GA

Active since August 12, 2021CLIA 11D2082378 · Microscopy
501 MOUNT VERNON RD, MONROE, GA 30655(770) 267-2511(978) 528-1330 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Aug 12, 2021 (2 updates tracked since 2021).

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 1306511381), doing business as Walton Emc - Monroe, is a healthcare organization registered as a multi-specialty in Monroe, Georgia and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through November 7, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1306511381
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address501 MOUNT VERNON RDMonroe, GA 30655-5028
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(978) 528-1330
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 12, 2021
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1306511381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
501 MOUNT VERNON RD, Monroe, GA 30655

Other Names 1

Doing Business AsWalton Emc - Monroe

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2082378

Premise Health Of Georgia Medical, PC · Monroe, GA
Active · expires Nov 7, 2026
CLIA Number11D2082378
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorMelissa Bupp
Laboratory Phone(470) 273-3255
Laboratory LocationPremise Health Of Georgia Medical, PC501 Mt Vernon Road, Monroe, GA 30655
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1306511381. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Walton EMC - Monroe.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 501 Mount Vernon Rd, Monroe, GA 30655. The listed phone number is (770) 267-2511.

What is Premise Health Of Georgia 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 Georgia Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2082378) is associated with this NPI, valid through November 7, 2026. 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 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 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.