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PREMISE HEALTH OF GEORGIA MEDICAL PC
NPI 1952729980
Clinic/Center in Valdosta, GA

Active since April 07, 2014CLIA 11D1107621 · Waiver
1550 COMMERCE DR, VALDOSTA, GA 31601(229) 293-1500 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Aug 24, 2022 (2 updates tracked since 2022).

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 1952729980), doing business as My Health Center At Lowe's Valdosta, is a healthcare organization registered as a clinic/center in Valdosta, Georgia and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1952729980
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMISE HEALTH OF GEORGIA MEDICAL PC
Location Address1550 COMMERCE DRValdosta, GA 31601-1206
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (229) 293-1500
Phone(229) 293-1500
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateApril 7, 2014
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1952729980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1550 COMMERCE DR, Valdosta, GA 31601
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Other Names 1

Doing Business AsMy Health Center At Lowe's Valdosta

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 11D1107621

Premise Health Of Georgia Medical, PC · Valdosta, GA
Active · expires Nov 9, 2027
CLIA Number11D1107621
Laboratory TypeEmployee On-Site Clinic
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorMs. Kim Rasmussen
Laboratory Phone(229) 293-1500
Laboratory LocationPremise Health Of Georgia Medical, PC1550 Commerce Drive, Valdosta, GA 31602
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 PC's NPI number?

The NPI number for Premise Health Of Georgia Medical PC is 1952729980. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is doing business as My Health Center at Lowe's Valdosta.

Where is Premise Health Of Georgia Medical PC located?

Premise Health Of Georgia Medical PC is located at 1550 Commerce Dr, Valdosta, GA 31601. The listed phone number is (229) 293-1500.

What is Premise Health Of Georgia Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Premise Health Of Georgia Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1107621) is associated with this NPI, valid through November 9, 2027. 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 4, 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.