PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
NPI 1619640562
Clinic/Center - Multi-Specialty in Forest, MS
About Premise Health Of Mississippi Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF MISSISSIPPI MEDICAL PC (NPI 1619640562), doing business as Unipres - Forest, is a healthcare organization registered as a multi-specialty in Forest, Mississippi and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 25D2003849
Premise Health Of Mississippi Medical PC · Forest, MSCertificate of Waiver 25D2000678
Premise Health Of Mississippi Medical, PC · Forest, MSFrequently 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 Mississippi Medical PC's NPI number?
The NPI number for Premise Health Of Mississippi Medical PC is 1619640562. It was assigned to this organization in the NPPES registry on July 27, 2021. The provider is doing business as Unipres - Forest.
Where is Premise Health Of Mississippi Medical PC located?
Premise Health Of Mississippi Medical PC is located at 1001 Fountain Dr, Forest, MS 39074. The listed phone number is (601) 469-0234.
What is Premise Health Of Mississippi 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 Mississippi Medical PC 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 Mississippi Medical PC 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.
# Premise Health Of Mississippi Medical Pc · NPI 1619640562
Multi-Specialty organization in Forest, Mississippi. Organization record, active in the CMS NPPES registry since July 27, 2021.
## Identity
- **NPI:** 1619640562 (Entity type: Organization)
- **Enumerated:** July 27, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Unipres - Forest (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 1001 FOUNTAIN DR, Forest, MS 39074-4038
- **Phone:** (601) 469-0234
## Record status
- **NPPES last updated:** February 12, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619640562) · Data from the CMS NPPES public registry.