NPIMap

Organization Active NPI

Premise Health of Kentucky Medical PSC

  • Multi-Specialty Clinic/Center
  • Georgetown, KY
National Provider Identifier
1558037960
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMISE HEALTH OF KENTUCKY MEDICAL PSC
Practice address
108 Osbourne Way Ste 7
Georgetown, KY 40324-9693
Phone
(502) 570-2903
Fax
(502) 570-2904
NPI assigned
Aug 17, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2063196Premise Health of Kentucky Medical, PSC108 Osbourne Way, Suite 7, Georgetown, KY 40324Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of West Virginia Medical Medical Corporation (27 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

108 Osbourne Way Ste 7
Georgetown, KY 40324-9693

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Other names 1

NPPES NPI Registry
  • City of Georgetown Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2026.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1558037960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OSBOURNE WAY STE 7",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249693",
            "telephone_number": "502-570-2903",
            "fax_number": "502-570-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF KENTUCKY MEDICAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "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": "City of Georgetown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Georgetown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.