Premise Health of Georgia Medical PC
Organization Active NPI Multi-Specialty Clinic/Center · Columbus, GA
NPI 1073090791 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1073090791
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PREMISE HEALTH OF GEORGIA MEDICAL PC
- Practice address
- 1110 Farr Rd Ste C
Columbus, GA 31907-8627 - Phone
- (706) 683-0909
- Fax
- (706) 683-9757
- NPI assigned
- Jul 25, 2018
- Organization subpart
- No
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Corporate family (same tax ID) 49
Practitioners 1
-
Michele Shumpert, D.O.
National Provider Directory
- Tax ID family
- Premise Health of Georgia Medical PC
Locations
1110 Farr Rd
Ste C
Columbus, GA 31907
Phone (706) 683-0909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1110 Farr Rd Ste C
Columbus, GA 31907-8627
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
Other names
- UniteHere Union Health & Wellness Center
NPI Registry JSON
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1073090791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 FARR RD STE C",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319078627",
"telephone_number": "706-683-0909",
"fax_number": "706-683-9757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF GEORGIA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-25",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-407-7557"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UniteHere Union Health & Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.