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Contact Information

PREMISE HEALTH OF GEORGIA MEDICAL PC
360 HOSPITAL DR
BUILDING D, SUITE 130
MACON, GA31217-3874
 Phone: 912-687-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for PREMISE HEALTH OF GEORGIA MEDICAL PC

NPI # 1124576558
LBN Legal business name PREMISE HEALTH OF GEORGIA MEDICAL PC
Authorized official EDWARD SCHWARTZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2016
Last updated 03/13/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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