PREMISE HEALTH OF TENNESSEE MEDICAL PC
NPI 1992435267
Clinic/Center - Multi-Specialty in Dyersburg, TN

Active since June 10, 2022
2045 SAINT JOHN AVE, DYERSBURG, TN 38024(731) 577-4449 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Sep 15, 2022, Jun 10, 2022 (3 updates tracked since 2022).

About Premise Health Of Tennessee Medical Pc NPPES

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

PREMISE HEALTH OF TENNESSEE MEDICAL PC (NPI 1992435267), doing business as Dot Dyersberg Family Health Center, is a healthcare organization registered as a multi-specialty in Dyersburg, Tennessee and active in the NPI registry since June 2022. The organization lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1992435267
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF TENNESSEE MEDICAL PC
Location Address2045 SAINT JOHN AVEDyersburg, TN 38024-2209
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJune 10, 2022
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1992435267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2045 SAINT JOHN AVE, Dyersburg, TN 38024

Other Names 1

Doing Business AsDot Dyersberg Family Health 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 44D2266117

Premise Health Of Tennessee Medical, PC · Dyersburg, TN
Expired · Aug 4, 2026
CLIA Number44D2266117
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorAngela Upchurch
Laboratory Phone(731) 577-4449
Laboratory LocationPremise Health Of Tennessee Medical, PC2045 St John Avenue, Dyersburg, TN 38024
CLIA data matches this NPI record on: Name Phone
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.

Physician Assistant
2045 SAINT JOHN AVE
DYERSBURG, TN 38024

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 Tennessee Medical PC's NPI number?

The NPI number for Premise Health Of Tennessee Medical PC is 1992435267. It was assigned to this organization in the NPPES registry on June 10, 2022. The provider is doing business as Dot Dyersberg Family Health Center.

Where is Premise Health Of Tennessee Medical PC located?

Premise Health Of Tennessee Medical PC is located at 2045 Saint John Ave, Dyersburg, TN 38024. The listed phone number is (731) 577-4449.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Tennessee 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.