PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1437213709
Family Medicine in Carrollton, GA
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 1437213709), doing business as Southwire Family Medical Center, is a healthcare organization registered as a family medicine in Carrollton, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premise Health Of Georgia Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Premise Health Of Georgia Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Carrollton, GA 30119
Atlanta, GA 30310
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D0876169
Premise Health Of Georgia Medical, PC · Carrollton, GAFrequently 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 1437213709. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Southwire Family Medical Center.
Where is Premise Health Of Georgia Medical PC located?
Premise Health Of Georgia Medical PC is located at 1128 S Park St, Carrollton, GA 30119. The listed phone number is (770) 836-0870.
What is Premise Health Of Georgia Medical PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Premise Health Of Georgia Medical PC enrolled in Medicare?
Yes. Premise Health Of Georgia Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premise Health Of Georgia Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Premise Health Of Georgia Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8) and Nurse Practitioner (4). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premise Health Of Georgia Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0876169) is associated with this NPI, valid through July 16, 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 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 8 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.
# Premise Health Of Georgia Medical Pc · NPI 1437213709
Family Medicine organization in Carrollton, Georgia. Organization record, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1437213709 (Entity type: Organization)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Southwire Family Medical Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 1128 S PARK ST, Carrollton, GA 30119-4450
- **Phone:** (770) 836-0870 · **Fax:** (770) 836-1837
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (4); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437213709) · Data from the CMS NPPES public registry.