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PREMISE HEALTH OF KENTUCKY MEDICAL PSC
NPI 1598438822
Clinic/Center - Multi-Specialty in Ft Wright, KY

Active since August 02, 2021CLIA Certified · 2 labs
1045 EATON DR, FT WRIGHT, KY 41017(859) 331-3529(407) 866-2842 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Aug 2, 2021 (2 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 1598438822), doing business as Madison Pike - Ft Wright, is a healthcare organization registered as a multi-specialty in Ft Wright, Kentucky and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1598438822
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF KENTUCKY MEDICAL PSC
Location Address1045 EATON DRFt Wright, KY 41017-9655
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Phone(859) 331-3529
Fax(407) 866-2842
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 2, 2021
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1598438822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1045 EATON DR, Ft Wright, KY 41017
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Other Names 1

Doing Business AsMadison Pike - Ft Wright

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 18D2149688

Premise Health Of Kentucky Medical, Psc · Ft Wright, KY
Active · expires Jun 7, 2028
CLIA Number18D2149688
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorDr. Maria Burton
Laboratory Phone(859) 331-3529
Laboratory LocationPremise Health Of Kentucky Medical, Psc1045 Easton Drive, Ft Wright, KY 41017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2058873

Premise Health Of Kentucky Medical, Psc · Ft Wright, KY
Active · expires May 13, 2027
CLIA Number18D2058873
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDr. Monica Sullivan
Laboratory Phone(877) 685-5883
Laboratory LocationPremise Health Of Kentucky Medical, Psc1840 Simon Kenton Way Ste 3200 Rm 3015, Ft Wright, KY 41017
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 1598438822. It was assigned to this organization in the NPPES registry on August 2, 2021. The provider is doing business as Madison Pike - Ft Wright.

Where is Premise Health Of Kentucky Medical Psc located?

Premise Health Of Kentucky Medical Psc is located at 1045 Eaton Dr, Ft Wright, KY 41017. The listed phone number is (859) 331-3529.

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. 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 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 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.