PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1437213709
Family Medicine in Carrollton, GA

Active since December 21, 2006CLIA 11D0876169 · Waiver
1128 S PARK ST, CARROLLTON, GA 30119(770) 836-0870(770) 836-1837 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2026, Aug 24, 2022, Aug 10, 2017 (3 updates tracked since 2017).

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

NPI1437213709
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address1128 S PARK STCarrollton, GA 30119-4450
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (844) 407-7557
Fax(770) 836-1837
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateDecember 21, 2006
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1437213709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1128 S PARK ST, Carrollton, GA 30119

Other Names 1

Doing Business AsSouthwire Family Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, GA
Active · expires Jul 16, 2028
CLIA Number11D0876169
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorDaniel A. Williams
Laboratory Phone(800) 251-0870
Laboratory LocationPremise Health Of Georgia Medical, PC1128 South Park Street, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pharmacist
1128 S PARK ST
CARROLLTON, GA 30119
Pharmacist
1128 S PARK ST
CARROLLTON, GA 30119
Family Medicine
1128 S PARK ST
CARROLLTON, GA 30119
Pharmacist
1128 S PARK ST
CARROLLTON, GA 30119
Pharmacist
1128 S PARK ST
CARROLLTON, GA 30119

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 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.

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 with the weekly NPPES data releases published by CMS.