Premise Health Of Georgia Medical PC
Clinic/Center, Primary Care in Gainesville, GA. Organization (NPI-2).
NPI number1306196027
StatusActive
Last updated in NPPESFeb 10, 2026
Details
- NPI
- 1306196027
- Entity type
- Organization (NPI-2)
- Legal business name
- Premise Health Of Georgia Medical PC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2012
- Certification date
- Feb 10, 2026
- Last updated
- Feb 10, 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 |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Fieldale Farms Family Medical Center (Doing Business As)
Practice location
584 Lanier Park DrGainesville, GA 30501-2000
Phone 770-532-5685 · Fax 770-532-8515
Mailing address
5500 Maryland WayBrentwood, TN 37027-7048
Phone 844-407-7557
Authorized official
Edward William Schwartz
President
8444077557
Is something wrong?
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All 7 Primary Care Clinic/Center providers in Gainesville · All 3,664 providers in Gainesville
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