PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1447739545
Clinic/Center - Primary Care in Vidalia, GA

Q: What is Premise Health Of Georgia Medical PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1447739545. It was assigned to this organization in the NPPES registry on August 9, 2018. The provider is doing business as Dot Vidalia Family Health Center.

Q: What is Premise Health Of Georgia Medical PC's specialty?

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

Active since August 09, 2018CLIA 11D2057902 · Waiver

1122 NORTH ST W, VIDALIA, GA 30474(912) 537-8488(912) 537-7303 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, Aug 24, 2022, Aug 9, 2018 (3 updates tracked since 2018).

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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 1447739545), doing business as Dot Vidalia Family Health Center, is a healthcare organization registered as a primary care in Vidalia, Georgia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1447739545

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC

Location Address1122 NORTH ST WVidalia, GA 30474-3214

Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048

Phone(912) 537-8488

Fax(912) 537-7303

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateAugust 9, 2018

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1447739545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1122 NORTH ST W, Vidalia, GA 30474

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Other Names 1

Doing Business AsDot Vidalia Family Health Center

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 11D2057902

Premise Health Of Georgia Medical, PC · Vidalia, GA

Active · expires Apr 24, 2027

CLIA Number11D2057902

Laboratory TypePhysician Office

Certificate Effective DateApril 25, 2025

Certificate Expiration DateApril 24, 2027

Laboratory DirectorDaniel Dasher

Laboratory Phone(912) 537-8488

Laboratory LocationPremise Health Of Georgia Medical, PC1122 West North Street, Vidalia, GA 30474

CLIA data matches this NPI record on: 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 Georgia Medical PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1447739545. It was assigned to this organization in the NPPES registry on August 9, 2018. The provider is doing business as Dot Vidalia Family Health Center.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 1122 North St W, Vidalia, GA 30474. The listed phone number is (912) 537-8488.

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

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

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

Yes. A Certificate of Waiver (number 11D2057902) is associated with this NPI, valid through April 24, 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 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 6 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.