PREMISE HEALTH OF VIRGINIA MEDICAL PC
NPI 1629743968
Clinic/Center - Multi-Specialty in Manassas, VA

Active since August 10, 2021CLIA 49D2093675 · Waiver
10432 BALLS FORD RD STE 224, MANASSAS, VA 20109(571) 229-9740 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Aug 10, 2021 (2 updates tracked since 2021).

About Premise Health Of Virginia Medical Pc NPPES

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

PREMISE HEALTH OF VIRGINIA MEDICAL PC (NPI 1629743968), doing business as Novec - Manassas, is a healthcare organization registered as a multi-specialty in Manassas, Virginia and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1629743968
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF VIRGINIA MEDICAL PC
Location Address10432 BALLS FORD RD STE 224Manassas, VA 20109-2516
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 10, 2021
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
NPI 1629743968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10432 BALLS FORD RD STE 224, Manassas, VA 20109

Other Names 1

Doing Business AsNovec - Manassas

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 49D2093675

Premise Health Of Virginia Medical, PC · Manassas, VA
Active · expires Apr 1, 2027
CLIA Number49D2093675
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorVijaya Alla
Laboratory Phone(571) 500-4517
Laboratory LocationPremise Health Of Virginia Medical, PC10432 Balls Ford Road - Suite 224, Manassas, VA 20109
CLIA data matches this NPI record on: Address 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 Virginia Medical PC's NPI number?

The NPI number for Premise Health Of Virginia Medical PC is 1629743968. It was assigned to this organization in the NPPES registry on August 10, 2021. The provider is doing business as Novec - Manassas.

Where is Premise Health Of Virginia Medical PC located?

Premise Health Of Virginia Medical PC is located at 10432 Balls Ford Rd Ste 224, Manassas, VA 20109. The listed phone number is (571) 229-9740.

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

Yes. A Certificate of Waiver (number 49D2093675) is associated with this NPI, valid through April 1, 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 Virginia Medical PC was last updated on February 13, 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.