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PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1366117343
Clinic/Center - Multi-Specialty in Valdosta, GA

Active since August 12, 2021CLIA 11D2025050 · Waiver
407 E ALDEN AVE, VALDOSTA, GA 31602(229) 259-7620(704) 353-7915 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 24, 2022, Aug 12, 2021 (3 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 1366117343), doing business as City Of Valdosta, is a healthcare organization registered as a multi-specialty in Valdosta, Georgia and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1366117343
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address407 E ALDEN AVEValdosta, GA 31602-3046
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Phone(229) 259-7620
Fax(704) 353-7915
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 12, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1366117343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
407 E ALDEN AVE, Valdosta, GA 31602
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Other Names 1

Doing Business AsCity Of Valdosta

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 11D2025050

Premise Health Of Georgia Medical PC · Valdosta, GA
Active · expires May 31, 2027
CLIA Number11D2025050
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorJeri Sheffield
Laboratory Phone(229) 352-8920
Laboratory LocationPremise Health Of Georgia Medical PC407 East Alden Avenue, Valdosta, GA 31602
CLIA data matches this NPI record on: Address 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 Georgia Medical PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1366117343. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as City of Valdosta.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 407 E Alden Ave, Valdosta, GA 31602. The listed phone number is (229) 259-7620.

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 of Waiver (number 11D2025050) is associated with this NPI, valid through May 31, 2027. 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 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.