PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1447955406
Clinic/Center - Multi-Specialty in Fort Wayne, IN

Active since March 31, 2023CLIA 15D2285240 · Waiver
10006 AUBURN PARK DR, FORT WAYNE, IN 46825(260) 247-8020 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, Mar 31, 2023 (2 updates tracked since 2023).

About Premise Health Of Indiana Medical Pc NPPES

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

PREMISE HEALTH OF INDIANA MEDICAL PC (NPI 1447955406), doing business as Premise Health, is a healthcare organization registered as a multi-specialty in Fort Wayne, Indiana and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1447955406
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address10006 AUBURN PARK DRFort Wayne, IN 46825-2389
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMarch 31, 2023
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1447955406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10006 AUBURN PARK DR, Fort Wayne, IN 46825

Other Names 1

Doing Business AsPremise 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 15D2285240

Premise Health Of Indiana Medical P C · Fort Wayne, IN
Active · expires Jul 9, 2027
CLIA Number15D2285240
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorGregory Eigner
Laboratory Phone(260) 247-8020
Laboratory LocationPremise Health Of Indiana Medical P C10006 Auburn Park Dr, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
10006 AUBURN PARK DR
FORT WAYNE, IN 46825
Physical Therapist
10006 AUBURN PARK DR
FORT WAYNE, IN 46825
Nurse Practitioner (Family)
10006 AUBURN PARK DR
FORT WAYNE, IN 46825

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 Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1447955406. It was assigned to this organization in the NPPES registry on March 31, 2023. The provider is doing business as Premise Health.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 10006 Auburn Park Dr, Fort Wayne, IN 46825. The listed phone number is (260) 247-8020.

What is Premise Health Of Indiana 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 Indiana Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2285240) is associated with this NPI, valid through July 9, 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 Indiana 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.