PREMISE HEALTH OF ARKANSAS MEDICAL PA
NPI 1376023697
Clinic/Center - Primary Care in Fort Smith, AR

Active since August 16, 2018CLIA 04D1100362 · Waiver
6101 PHOENIX AVE, FORT SMITH, AR 72903(479) 434-3431(479) 434-3466 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, Jan 9, 2023, Mar 8, 2021 and 1 more (4 updates tracked since 2018).

About Premise Health Of Arkansas Medical Pa NPPES

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

PREMISE HEALTH OF ARKANSAS MEDICAL PA (NPI 1376023697), doing business as Premise Health - Fort Smith East, is a healthcare organization registered as a primary care in Fort Smith, Arkansas and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1376023697
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF ARKANSAS MEDICAL PA
Location Address6101 PHOENIX AVEFort Smith, AR 72903-5083
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(479) 434-3466
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 16, 2018
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1376023697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6101 PHOENIX AVE, Fort Smith, AR 72903

Other Names 1

Doing Business AsPremise Health - Fort Smith East

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 04D1100362

Premise Health Of Arkansas Medical, PA · Fort Smith, AR
Active · expires Jun 3, 2027
CLIA Number04D1100362
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorDr. Joseph Kradel
Laboratory Phone(479) 434-3431
Laboratory LocationPremise Health Of Arkansas Medical, PA6101 Phoenix Ave Bldg #3, Fort Smith, AR 72903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
6101 PHOENIX AVE
FORT SMITH, AR 72903
Internal Medicine (Cardiovascular Disease)
6101 PHOENIX AVE, CON/ARC PLACE #3
FORT SMITH, AR 72903
Internal Medicine (Cardiovascular Disease)
6101 PHOENIX AVE, CON/ARC PLACE #3
FORT SMITH, AR 72903

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 Arkansas Medical PA's NPI number?

The NPI number for Premise Health Of Arkansas Medical PA is 1376023697. It was assigned to this organization in the NPPES registry on August 16, 2018. The provider is doing business as Premise Health - Fort Smith East.

Where is Premise Health Of Arkansas Medical PA located?

Premise Health Of Arkansas Medical PA is located at 6101 Phoenix Ave, Fort Smith, AR 72903. The listed phone number is (479) 434-3431.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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

Yes. A Certificate of Waiver (number 04D1100362) is associated with this NPI, valid through June 3, 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 Arkansas 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 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.