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PREMISE HEALTH OF TENNESSEE MEDICAL PC
NPI 1669010112
Clinic/Center - Multi-Specialty in Scottsville, KY

Active since December 16, 2019CLIA 18D2168052 · Waiver
1070 SMITH GROVE RD, SCOTTSVILLE, KY 42164(270) 239-6024(270) 239-6060 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2022, Oct 12, 2020, Sep 10, 2020 and 2 more (5 updates tracked since 2019).

About Premise Health Of Tennessee Medical Pc NPPES

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

PREMISE HEALTH OF TENNESSEE MEDICAL PC (NPI 1669010112), doing business as Smucker Scottsville Health Center, is a healthcare organization registered as a multi-specialty in Scottsville, Kentucky and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1669010112
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF TENNESSEE MEDICAL PC
Location Address1070 SMITH GROVE RDScottsville, KY 42164-9444
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(270) 239-6024
Fax(270) 239-6060
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateDecember 16, 2019
Last NPPES UpdateFebruary 13, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1669010112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1070 SMITH GROVE RD, Scottsville, KY 42164
Open in Google Maps ↗

Other Names 1

Doing Business AsSmucker Scottsville Health Center

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 18D2168052

Premise Health Of Kentucky Medical, Psc · Scottsville, KY
Active · expires Jun 19, 2027
CLIA Number18D2168052
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorDr. Bradford Cottrell
Laboratory Phone(270) 239-6024
Laboratory LocationPremise Health Of Kentucky Medical, Psc1070 Smiths Grove Road, Scottsville, KY 42164
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

KATIE ELLEN HART AGPCNP-BC
Family Medicine (Adult Medicine)
1070 SMITH GROVE RD
SCOTTSVILLE, KY 42164
Allen County (270) 239-6024

Frequently Asked Questions

What is PREMISE HEALTH OF TENNESSEE MEDICAL PC's NPI number?

The NPI number assigned to this healthcare provider is 1669010112, enumerated as an "organization" on December 16, 2019.

Where is the provider located?

The provider is located at 1070 SMITH GROVE RD SCOTTSVILLE, KY 42164 and the phone number is (270) 239-6024.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.