PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1609664416
Clinic/Center - Multi-Specialty in Brookhaven, GA
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 1609664416), doing business as At&t Health And Wellness Center, is a healthcare organization registered as a multi-specialty in Brookhaven, Georgia and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Jonathan Leizman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 11D2337322
Premise Health Of Georgia Medical, PC · Atlanta, GAFrequently 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 1609664416. It was assigned to this organization in the NPPES registry on April 30, 2025. The provider is doing business as AT&T Health and Wellness Center.
Where is Premise Health Of Georgia Medical PC located?
Premise Health Of Georgia Medical PC is located at 1025 Lenox Park Blvd NE, Brookhaven, GA 30319. The listed phone number is (404) 689-6550.
What is Premise Health Of Georgia 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 Georgia Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2337322) is associated with this NPI, valid through January 20, 2028. 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 April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Premise Health Of Georgia Medical Pc · NPI 1609664416
Multi-Specialty organization in Brookhaven, Georgia. Organization record, active in the CMS NPPES registry since April 30, 2025.
## Identity
- **NPI:** 1609664416 (Entity type: Organization)
- **Enumerated:** April 30, 2025
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** AT&T Health and Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jonathan Leizman, PRESIDENT
## Practice location
- **Address:** 1025 LENOX PARK BLVD NE, Brookhaven, GA 30319-5309
- **Phone:** (404) 689-6550
## Record status
- **NPPES last updated:** April 30, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609664416) · Data from the CMS NPPES public registry.