NPI age
6 years
Enumerated 2020-01-27
● Active Type 2 · Organization
Premise Health Of Georgia Medical, P.c.
Premise Health Of Georgia Medical, P.c. is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leizman
President
Last NPPES update
2022-08-24
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2225 S Hamilton St
Dalton, GA 307214975
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 370274993
Authorized official
Jon Leizman, MD
President
📞 2164799063
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Shaw Family Health Center Plant 4
-
Shaw Family Health Center Plant 4
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.