Premise Health of Mississippi Medical PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMISE HEALTH OF MISSISSIPPI MEDICAL PC

Practice address

1001 Fountain Dr
Forest, MS 39074-4038

Phone

(601) 469-0234

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Addresses

Other names 1

• Unipres - Forest Doing business as

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

CLIA laboratory certificates

Tax ID family

Premise Health of Mississippi Medical PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Premise Health of Mississippi Medical PC

  • Multi-Specialty Clinic/Center
  • Jackson, MS
  • NPI 1063185916
  NPD tax ID
• Premise Health of Mississippi Medical PC

  • General Practice Physician
  • Ecru, MS
  • NPI 1194140368
  NPD tax ID
• Premise Health of Mississippi Medical PC

  • Multi-Specialty Clinic/Center
  • Ridgeland, MS
  • NPI 1417620360
  NPD tax ID
• Premise Health of Mississippi Medical PC

  • Multi-Specialty Clinic/Center
  • Blue Springs, MS
  • NPI 1669781852
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1619640562",
    "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": "1001 FOUNTAIN DR",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744038",
            "telephone_number": "601-469-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF MISSISSIPPI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "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": "Unipres - Forest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unipres - Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lotashia Patrick, PMHNP-BC
• Mary Elizabeth Paul, PMHNP-BC
• My Quang Thi Pham, PHARM.D.
• Leanne Earls Pounders, DPT
• Ashley Powell, FNP-C
• Haley Huey Purvis, SLP
• Quick Quality Care Or Mississippi, Llcdba Checkups
• R. D. Eason OD PA
• Candace Smith Raybon, OT
• Region Ten Commission on Mental Health

• Multi-Specialty Clinic/Center in Forest, MS
• Providers in Forest, MS by specialty
• Multi-Specialty Clinic/Center in Mississippi

• 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.