PREMISE HEALTH OF TEXAS MEDICAL PA
NPI 1306511803
Clinic/Center - Multi-Specialty in Jasper, TX

Active since August 16, 2021CLIA 45D2267374 · Waiver
5114 US HIGHWAY 190 E, JASPER, TX 75951(615) 468-3188 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Aug 23, 2022, Aug 16, 2021 (3 updates tracked since 2021).

About Premise Health Of Texas Medical Pa NPPES

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

PREMISE HEALTH OF TEXAS MEDICAL PA (NPI 1306511803), doing business as Lp -jasper, is a healthcare organization registered as a multi-specialty in Jasper, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Edward Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1306511803
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF TEXAS MEDICAL PA
Location Address5114 US HIGHWAY 190 EJasper, TX 75951-6710
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward SchwartzPresident · (844) 407-7557
Enumeration DateAugust 16, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1306511803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5114 US HIGHWAY 190 E, Jasper, TX 75951

Other Names 1

Doing Business AsLp -jasper

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 45D2267374

Premise Health Of Texas Medical, PA · Jasper, TX
Active · expires Aug 23, 2026
CLIA Number45D2267374
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorDavid Fink
Laboratory Phone(833) 930-4539
Laboratory LocationPremise Health Of Texas Medical, PA1215 West Gibson, Jasper, TX 75951
CLIA data matches this NPI record on: 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 Texas Medical PA's NPI number?

The NPI number for Premise Health Of Texas Medical PA is 1306511803. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as LP -Jasper.

Where is Premise Health Of Texas Medical PA located?

Premise Health Of Texas Medical PA is located at 5114 Us Highway 190 E, Jasper, TX 75951. The listed phone number is (615) 468-3188.

What is Premise Health Of Texas Medical PA's specialty?

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

Does Premise Health Of Texas Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2267374) is associated with this NPI, valid through August 23, 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 Texas Medical PA was last updated on February 4, 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.