PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1730679515
Clinic/Center - Multi-Specialty in Dalton, GA

Active since May 16, 2018CLIA 11D2049703 · Waiver
304 BRICKYARD RD, DALTON, GA 30721(706) 876-1870(706) 277-7626 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, May 16, 2018 (2 updates tracked since 2018).

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 1730679515), doing business as Premise Health - Dalton Hwc, is a healthcare organization registered as a multi-specialty in Dalton, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1730679515
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address304 BRICKYARD RDDalton, GA 30721-4815
Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048
Fax(706) 277-7626
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMay 16, 2018
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1730679515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
304 BRICKYARD RD, Dalton, GA 30721

Other Names 1

Doing Business AsPremise Health - Dalton Hwc

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 11D2049703

Premise Health Of Georgia Medical, PC · Dalton, GA
Active · expires Nov 12, 2026
CLIA Number11D2049703
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDaisy Lim
Laboratory Phone(706) 876-1870
Laboratory LocationPremise Health Of Georgia Medical, PC304 Brickyard Road, Dalton, GA 30721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
304 BRICKYARD RD
DALTON, GA 30721
Nurse Practitioner (Family)
304 BRICKYARD RD
DALTON, GA 30721

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 1730679515. It was assigned to this organization in the NPPES registry on May 16, 2018. The provider is doing business as Premise Health - Dalton HWC.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 304 Brickyard Rd, Dalton, GA 30721. The listed phone number is (706) 876-1870.

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 11D2049703) is associated with this NPI, valid through November 12, 2026. 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 17, 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.