BOEHRINGER INGELHEIM ATHENS GA OCCUPATIONAL HEALTH SERVICES
NPI 1902402530
Clinic/Center - Occupational Medicine in Athens, GA

Active since December 09, 2020CLIA 11D2145556 · Waiver
1730 OLYMPIC DR, ATHENS, GA 30601(706) 552-2776 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Dec 9, 2020 (2 updates tracked since 2020).

About Boehringer Ingelheim Athens Ga Occupational Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOEHRINGER INGELHEIM ATHENS GA OCCUPATIONAL HEALTH SERVICES (NPI 1902402530) is a healthcare organization registered as an occupational medicine in Athens, Georgia and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1902402530
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Location Address1730 OLYMPIC DRAthens, GA 30601-1606
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateDecember 9, 2020
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1902402530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1730 OLYMPIC DR, Athens, GA 30601

Other Names 1

Doing Business AsBoehringer Ingelheim Athens Ga Occupational Health Services

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 11D2145556

Premise Health Of Georgia Medical, PC · Athens, GA
Active · expires Mar 11, 2028
CLIA Number11D2145556
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorBrian Forrester
Laboratory Phone(706) 552-2776
Laboratory LocationPremise Health Of Georgia Medical, PC1730 Olympic Drive, Athens, GA 30601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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, P.C.'s NPI number?

The NPI number for Premise Health Of Georgia Medical, P.C. is 1902402530. It was assigned to this organization in the NPPES registry on December 9, 2020. The provider is doing business as Boehringer Ingelheim Athens Ga Occupational Health Services.

Where is Premise Health Of Georgia Medical, P.C. located?

Premise Health Of Georgia Medical, P.C. is located at 1730 Olympic Dr, Athens, GA 30601. The listed phone number is (706) 552-2776.

What is Premise Health Of Georgia Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of Georgia Medical, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2145556) is associated with this NPI, valid through March 11, 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, P.C. was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.