PREMISE HEALTH OF ALABAMA MEDICAL PC
NPI 1437825718
Clinic/Center - Multi-Specialty in Montgomery, AL

Active since August 18, 2021CLIA Certified · 2 labs
3845 INTERSTATE CT STE 1, MONTGOMERY, AL 36109(334) 356-3918 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Aug 18, 2021 (2 updates tracked since 2021).

About Premise Health Of Alabama Medical Pc NPPES

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

PREMISE HEALTH OF ALABAMA MEDICAL PC (NPI 1437825718), doing business as Montgomery Water Works, is a healthcare organization registered as a multi-specialty in Montgomery, Alabama and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1437825718
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ALABAMA MEDICAL PC
Location Address3845 INTERSTATE CT STE 1Montgomery, AL 36109-5223
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateAugust 18, 2021
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1437825718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3845 INTERSTATE CT STE 1, Montgomery, AL 36109

Other Names 1

Doing Business AsMontgomery Water Works

CLIA Laboratory Certificates CMS CLIA 2

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 01D2009688

Premise Health Of Alabama Medical, PC · Montgomery, AL
Active · expires Jul 8, 2028
CLIA Number01D2009688
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorMs. Clydetta Botchway
Laboratory Phone(334) 356-3918
Laboratory LocationPremise Health Of Alabama Medical, PC3845 Interstate Court, Suite 1, Montgomery, AL 36109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2138623

Premise Health Of Alabama Medical, PC · Montgomery, AL
Active · expires Oct 22, 2027
CLIA Number01D2138623
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorLeia Thornton
Laboratory Phone(866) 265-0359
Laboratory LocationPremise Health Of Alabama Medical, PC2650 Gunter Park Drive East, Montgomery, AL 36109
CLIA data matches this NPI record on: 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 Alabama Medical PC's NPI number?

The NPI number for Premise Health Of Alabama Medical PC is 1437825718. It was assigned to this organization in the NPPES registry on August 18, 2021. The provider is doing business as Montgomery Water Works.

Where is Premise Health Of Alabama Medical PC located?

Premise Health Of Alabama Medical PC is located at 3845 Interstate Ct Ste 1, Montgomery, AL 36109. The listed phone number is (334) 356-3918.

What is Premise Health Of Alabama 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 Alabama Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Alabama Medical PC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.