PREMISE HEALTH OF ALABAMA MEDICAL PC
NPI 1356912315
Clinic/Center - Multi-Specialty in Tuscaloosa, AL

Active since July 09, 2021CLIA Certified · 2 labs
971 FAIRFAX PARK, TUSCALOOSA, AL 35406(205) 632-3472(205) 469-9151 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Aug 25, 2022, Jul 9, 2021 (3 updates tracked since 2021).

About Premise Health Of Alabama Medical Pc NPPES

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

PREMISE HEALTH OF ALABAMA MEDICAL PC (NPI 1356912315), doing business as Mercedes-tuscaloosa, is a healthcare organization registered as a multi-specialty in Tuscaloosa, Alabama and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1356912315
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ALABAMA MEDICAL PC
Location Address971 FAIRFAX PARKTuscaloosa, AL 35406-2822
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993 · (205) 632-3472 · Fax (205) 469-9151
Fax(205) 469-9151
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 9, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1356912315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
971 FAIRFAX PARK, Tuscaloosa, AL 35406

Other Names 1

Doing Business AsMercedes-tuscaloosa

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 01D2109363

Premise Health Of Alabama Medical, PC · Tuscaloosa, AL
Active · expires Feb 23, 2028
CLIA Number01D2109363
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorDr. Anthony Drake
Laboratory Phone(877) 423-1330
Laboratory LocationPremise Health Of Alabama Medical, PC971 Fairfax Park Suite B, Tuscaloosa, AL 35406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2055619

Premise Health Of Alabama Medical, PC · Tuscaloosa, AL
Active · expires Mar 13, 2027
CLIA Number01D2055619
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorRobert M. Donlan
Laboratory Phone(205) 391-6224
Laboratory LocationPremise Health Of Alabama Medical, PC5101 21st Street, Tuscaloosa, AL 35401
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

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

Family Medicine
971 FAIRFAX PARK, SUITE B
TUSCALOOSA, AL 35406

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 Alabama Medical PC's NPI number?

The NPI number for Premise Health Of Alabama Medical PC is 1356912315. It was assigned to this organization in the NPPES registry on July 9, 2021. The provider is doing business as Mercedes-Tuscaloosa.

Where is Premise Health Of Alabama Medical PC located?

Premise Health Of Alabama Medical PC is located at 971 Fairfax Park, Tuscaloosa, AL 35406. The listed phone number is (205) 632-3472.

What is Premise Health Of Alabama 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 Alabama 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 Alabama Medical PC 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.