NPIMap

Premise Health of Georgia Medical PC

Organization Active NPI Primary Care Clinic/Center · Claxton, GA

NPI 1770062853 · NPPES record last updated Feb 17, 2026

Key facts

NPI
1770062853
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
PREMISE HEALTH OF GEORGIA MEDICAL PC
Practice address
8816 US Highway 301
Claxton, GA 30417-5428
Phone
(912) 739-3019
Fax
(912) 739-1753
NPI assigned
Aug 9, 2018
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 49

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

View all 49

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2049704Premise Health of Georgia Medical, PC
8816 US Highway 301, Claxton, GA 30417		Certificate of waiverNov 12, 2026

National Provider Directory

Tax ID family
Premise Health of Georgia Medical PC (50 organizations share this tax ID)

Locations

8816 US Highway 301
Claxton, GA 30417
Phone (912) 739-3019

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

8816 US Highway 301
Claxton, GA 30417-5428

Mailing address

5500 Maryland Way Ste 400
Brentwood, TN 37027-7048

Other names

  • Claxton Poultry Wellness Center Doing business as

Other providers in Claxton, GA

All providers in Claxton, GA · Primary Care Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.