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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROMISE HEALTH MEDICAL INSTITUTE
NPI 1861338980
Health Educator in Decatur, GA

Active since April 29, 2026
4280 MEMORIAL DR STE D, DECATUR, GA 30032(404) 941-9270 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Apr 29, 2026 (2 updates tracked since 2026).

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 health educator in Decatur, Georgia and active in the NPI registry since April 2026. The organization maintains a secondary practice location in Norcross and lists Ebonee Gresham, Director, as its authorized official.

NPPES Registry Identity

NPI1861338980
Entity TypeOrganization
Primary Taxonomy174H00000X
Legal Business NamePROMISE HEALTH MEDICAL INSTITUTE
Location Address4280 MEMORIAL DR STE DDecatur, GA 30032-1216
Mailing Address4280 Memorial Dr Ste DDecatur, GA 30032-1216 · (404) 941-9270
Phone(404) 941-9270
Organization SubpartNo
Authorized OfficialEbonee GreshamDirector · (404) 941-9270
Enumeration DateApril 29, 2026
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1861338980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4280 MEMORIAL DR STE D, Decatur, GA 30032
Open in Google Maps ↗

Secondary Practice Location 1

Location 14554 Jimmy Carter BlvdNorcross, GA 30093-4911 · Phone (404) 941-9270

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, GA
Expired · Sep 16, 2026
CLIA Number11D2311077
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorEbonee Gresham
Laboratory Phone(678) 956-8490
Laboratory LocationPromise Health Medical Institute4280 Memorial Drive, Suite D, Decatur, GA 30032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EBONEE GRESHAM FNP
Nurse Practitioner (Family)
4280 MEMORIAL DR STE D
DECATUR, GA 30032
Dekalb County (678) 719-5525

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 Health Educator with taxonomy code 174H00000X.

When was this NPI record last updated?

The NPPES record for Promise Health Medical Institute was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.