PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1932840683
Clinic/Center - Multi-Specialty in Tyrone, GA

Q: What is Premise Health Of Georgia Medical PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1932840683. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is doing business as Premise Health Wellness Center.

Q: 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.

Active since April 06, 2022CLIA 11D2264708 · Waiver

105 SAINT STEPHENS CT STE A, TYRONE, GA 30290(470) 491-3370(770) 415-1519 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2026, Aug 24, 2022, Apr 6, 2022 (3 updates tracked since 2022).

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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 1932840683), doing business as Premise Health Wellness Center, is a healthcare organization registered as a multi-specialty in Tyrone, Georgia and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1932840683

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC

Location Address105 SAINT STEPHENS CT STE ATyrone, GA 30290-1716

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(470) 491-3370

Fax(770) 415-1519

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateApril 6, 2022

Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1932840683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

105 SAINT STEPHENS CT STE A, Tyrone, GA 30290

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Other Names 1

Doing Business AsPremise Health Wellness Center

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 11D2264708

Premise Health Of Georgia Medical, PC · Tyrone, GA

Active · expires Jul 18, 2028

CLIA Number11D2264708

Laboratory TypePhysician Office

Certificate Effective DateJuly 19, 2026

Certificate Expiration DateJuly 18, 2028

Laboratory DirectorMarcus Allen

Laboratory Phone(470) 491-3370

Laboratory LocationPremise Health Of Georgia Medical, PC105 St Stephens Court, Ste A, Tyrone, GA 30290

CLIA data matches this NPI record on: 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 PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1932840683. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is doing business as Premise Health Wellness Center.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 105 Saint Stephens Ct Ste A, Tyrone, GA 30290. The listed phone number is (470) 491-3370.

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 11D2264708) is associated with this NPI, valid through July 18, 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 PC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.