Active NPI
Premise Health of Tennessee Medical PC
- Multi-Specialty Clinic/Center
- Maryville, TN
National Provider Identifier
1073901344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PREMISE HEALTH OF TENNESSEE MEDICAL PC
- Practice address
- 1810 Robert C Jackson Dr
Maryville, TN 37801-3788 - Phone
- (865) 724-2334
- Fax
- (865) 724-2344
- NPI assigned
- Jan 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1810 Robert C Jackson Dr
Maryville, TN 37801-3788
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names 1
- DENSO Family Health Center Maryville
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2092541 | Premise Health of Tennessee Medical, PC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
1810 Robert C Jackson Dr
Maryville, TN 37801
Phone (865) 724-2334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1073901344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 ROBERT C JACKSON DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378013788",
"telephone_number": "865-724-2334",
"fax_number": "865-724-2344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF TENNESSEE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-08",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"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": "DENSO Family Health Center Maryville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.