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PREMISE HEALTH OF KENTUCKY MEDICAL PSC
NPI 1558037960
Clinic/Center - Multi-Specialty in Georgetown, KY

Active since August 17, 2021CLIA Certified · 3 labs
108 OSBOURNE WAY STE 7, GEORGETOWN, KY 40324(502) 570-2903(502) 570-2904 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2024, Aug 15, 2022, Aug 17, 2021 (3 updates tracked since 2021).

About Premise Health Of Kentucky Medical Psc NPPES

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

PREMISE HEALTH OF KENTUCKY MEDICAL PSC (NPI 1558037960), doing business as City Of Georgetown, is a healthcare organization registered as a multi-specialty in Georgetown, Kentucky and active in the NPI registry since August 2021. The organization holds 3 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1558037960
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF KENTUCKY MEDICAL PSC
Location Address108 OSBOURNE WAY STE 7Georgetown, KY 40324-9693
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Phone(502) 570-2903
Fax(502) 570-2904
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 17, 2021
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1558037960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
108 OSBOURNE WAY STE 7, Georgetown, KY 40324
Open in Google Maps ↗

Other Names 1

Doing Business AsCity Of Georgetown

CLIA Laboratory Certificates CMS CLIA 3

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 18D2063196

Premise Health Of Kentucky Medical, Psc · Georgetown, KY
Active · expires Jul 28, 2027
CLIA Number18D2063196
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. Courtney Maiden
Laboratory Phone(502) 362-2930
Laboratory LocationPremise Health Of Kentucky Medical, Psc108 Osbourne Way, Suite 7, Georgetown, KY 40324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D0992895

Premise Health Of Kentucky Medical, Psc · Georgetown, KY
Active · expires Oct 29, 2027
CLIA Number18D0992895
Laboratory TypeIndustrial
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorDr. Gregory Robbins
Laboratory Phone(859) 868-4961
Laboratory LocationPremise Health Of Kentucky Medical, Psc1001 Cherry Blossom Way Ihs 2000, Georgetown, KY 40324
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2166639

Premise Health Of Kentucky Medical, Psc · Georgetown, KY
Active · expires May 21, 2027
CLIA Number18D2166639
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorDr. Gregory Robbins
Laboratory Phone(502) 867-4604
Laboratory LocationPremise Health Of Kentucky Medical, Psc701 Cherry Blossom Way, Georgetown, KY 40324
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 Kentucky Medical Psc's NPI number?

The NPI number for Premise Health Of Kentucky Medical Psc is 1558037960. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as City of Georgetown.

Where is Premise Health Of Kentucky Medical Psc located?

Premise Health Of Kentucky Medical Psc is located at 108 Osbourne Way Ste 7, Georgetown, KY 40324. The listed phone number is (502) 570-2903.

What is Premise Health Of Kentucky Medical Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Kentucky Medical Psc hold CLIA laboratory certificates?

Yes. 3 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 Kentucky Medical Psc was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.