PROMISE HEALTH MEDICAL INSTITUTE
NPI 1861338980
Nurse Practitioner - Family in Decatur, GA
About Promise Health Medical Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMISE HEALTH MEDICAL INSTITUTE (NPI 1861338980) is a healthcare organization registered as a family in Decatur, Georgia and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Ebonee Gresham, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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 11D2311077
Promise Health Medical Institute · Decatur, 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 Promise Health Medical Institute's NPI number?
The NPI number for Promise Health Medical Institute is 1861338980. It was assigned to this organization in the NPPES registry on April 29, 2026.
Where is Promise Health Medical Institute located?
Promise Health Medical Institute is located at 4280 Memorial Dr Ste D, Decatur, GA 30032. The listed phone number is (404) 941-9270.
What is Promise Health Medical Institute's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Promise Health Medical Institute hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2311077) is associated with this NPI, valid through September 16, 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 Promise Health Medical Institute was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
