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PREMISE HEALTH OF VIRGINIA MEDICAL PC
NPI 1417476466
Clinic/Center in Manassas, VA

Active since September 11, 2017CLIA 49D2013749 · Waiver
9500 GODWIN DR BLDG 400, MANASSAS, VA 20110(703) 367-3950(703) 367-2181 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Feb 4, 2026, Aug 15, 2022, Sep 25, 2018 and 1 more (4 updates tracked since 2017).

About Premise Health Of Virginia Medical Pc NPPES

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

PREMISE HEALTH OF VIRGINIA MEDICAL PC (NPI 1417476466), doing business as The Wellness Center Operated By Premise Health, is a healthcare organization registered as a clinic/center in Manassas, Virginia and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through September 22, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1417476466
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMISE HEALTH OF VIRGINIA MEDICAL PC
Location Address9500 GODWIN DR BLDG 400Manassas, VA 20110-4166
Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048 · (844) 407-7557
Phone(703) 367-3950
Fax(703) 367-2181
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateSeptember 11, 2017
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1417476466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9500 GODWIN DR BLDG 400, Manassas, VA 20110
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Other Names 1

Doing Business AsThe Wellness Center Operated By Premise Health

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 49D2013749

Premise Health Of Virginia Medical PC · Manassas, VA
Active · expires Sep 22, 2028
CLIA Number49D2013749
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2026
Certificate Expiration DateSeptember 22, 2028
Laboratory DirectorXianling Liu
Laboratory Phone(703) 367-3950
Laboratory LocationPremise Health Of Virginia Medical PC9500 Godwin Drive Building 400/044, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name Phone
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 Virginia Medical PC's NPI number?

The NPI number for Premise Health Of Virginia Medical PC is 1417476466. It was assigned to this organization in the NPPES registry on September 11, 2017. The provider is doing business as The Wellness Center Operated by Premise Health.

Where is Premise Health Of Virginia Medical PC located?

Premise Health Of Virginia Medical PC is located at 9500 Godwin Dr Bldg 400, Manassas, VA 20110. The listed phone number is (703) 367-3950.

What is Premise Health Of Virginia Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Premise Health Of Virginia Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2013749) is associated with this NPI, valid through September 22, 2028. 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 Virginia 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 7 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.