Premise Health Of Georgia Medical PC
Clinic/Center, Multi-Specialty in Macon, GA. Organization (NPI-2).
NPI number1124576558
StatusActive
Last updated in NPPESMar 13, 2026
Details
- NPI
- 1124576558
- Entity type
- Organization (NPI-2)
- Legal business name
- Premise Health Of Georgia Medical PC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2016
- Certification date
- Mar 13, 2026
- Last updated
- Mar 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Premise Health Wellness Center (Doing Business As)
Practice location
360 Hospital DrBuilding D, Suite 130
Macon, GA 31217-3874
Phone 912-687-3100
Mailing address
5500 Maryland WayBrentwood, TN 37027-7048
Authorized official
Edward William Schwartz
President
8444077557
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Multi-Specialty Clinic/Center providers in Macon · All 5,121 providers in Macon
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