Premise Health of Mississippi Medical PC
Organization Active NPI General Practice Physician · Ecru, MS
NPI 1194140368 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1194140368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
- Practice address
- 305 Highway 346
Ecru, MS 38841-9772 - Phone
- (662) 489-2669
- Fax
- (662) 489-2670
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Corporate family (same tax ID) 4
Practitioners 2
-
Felicia Daniel, FNP-BC
National Provider Directory
- Tax ID family
- Premise Health of Mississippi Medical PC
Locations
305 Highway 346
Ecru, MS 38841
Phone (662) 489-2669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
305 Highway 346
Ecru, MS 38841-9772
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names
- Ashley Wellness Center
Other providers in Ecru, MS
- Morrison'S Family Services
- North Mississippi Medical Clinics Inc
- Elizabeth Norton
- Peden Pediatric Therapy, LLC
- Pontotoc Health Services, Inc.
- Proactive MD Ms LLC
- Paige Sparks
- Terry Wade Stubblefield
- Crystal Lane Tate
- Catherine Leanne Vance
All providers in Ecru, MS · General Practice Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 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.