PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1669147542
Clinic/Center - Multi-Specialty in Snellville, GA

Q: What is Premise Health Of Georgia Medical PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1669147542. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Walton EMC - Snellville.

Q: 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.

Active since August 12, 2021CLIA 11D2154022 · Microscopy

3645 LENORA CHURCH RD, SNELLVILLE, GA 30039(205) 564-0510(304) 720-7319 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2022, Aug 12, 2021 (2 updates tracked since 2021).

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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 1669147542), doing business as Walton Emc - Snellville, is a healthcare organization registered as a multi-specialty in Snellville, Georgia and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through May 31, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1669147542

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC

Location Address3645 LENORA CHURCH RDSnellville, GA 30039-5201

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(205) 564-0510

Fax(304) 720-7319

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateAugust 12, 2021

Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1669147542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

3645 LENORA CHURCH RD, Snellville, GA 30039

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Other Names 1

Doing Business AsWalton Emc - Snellville

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2154022

Premise Health Of Georgia Medical, PC · Snellville, GA

Active · expires May 31, 2028

CLIA Number11D2154022

Laboratory TypePhysician Office

Certificate Effective DateJune 1, 2026

Certificate Expiration DateMay 31, 2028

Laboratory DirectorMelissa Bupp

Laboratory Phone(770) 267-2505

Laboratory LocationPremise Health Of Georgia Medical, PC3645 Lenora Church Road, Snellville, GA 30039

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Georgia Medical PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1669147542. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Walton EMC - Snellville.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 3645 Lenora Church Rd, Snellville, GA 30039. The listed phone number is (205) 564-0510.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 11D2154022) is associated with this NPI, valid through May 31, 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 February 13, 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.