PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1770062853
Clinic/Center - Primary Care in Claxton, GA
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 1770062853), doing business as Claxton Poultry Wellness Center, is a healthcare organization registered as a primary care in Claxton, Georgia and active in the NPI registry since August 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
Specialties & Licenses
Other Names 1
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 11D2049704
Premise Health Of Georgia Medical, PC · Claxton, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1770062853. It was assigned to this organization in the NPPES registry on August 9, 2018. The provider is doing business as Claxton Poultry Wellness Center.
Where is Premise Health Of Georgia Medical PC located?
Premise Health Of Georgia Medical PC is located at 8816 Us Highway 301, Claxton, GA 30417. The listed phone number is (912) 739-3019.
What is Premise Health Of Georgia Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Premise Health Of Georgia Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2049704) 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.
# Premise Health Of Georgia Medical Pc · NPI 1770062853
Primary Care organization in Claxton, Georgia. Organization record, active in the CMS NPPES registry since August 9, 2018.
## Identity
- **NPI:** 1770062853 (Entity type: Organization)
- **Enumerated:** August 9, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Claxton Poultry Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 8816 US HIGHWAY 301, Claxton, GA 30417-5428
- **Phone:** (912) 739-3019 · **Fax:** (912) 739-1753
## Record status
- **NPPES last updated:** February 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770062853) · Data from the CMS NPPES public registry.