NPI age
5 years
Enumerated 2020-12-09
● Active Type 2 · Organization
Premise Health Of Georgia Medical, P.c.
Premise Health Of Georgia Medical, P.c. is 1 of 65 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 65 active clinic/center providers in Georgia.
NPI age
5 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1112 Airport Pkwy
Gainesville, GA 305016816
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.
-
Boehringer Ingelheim Gainesville GA Occupational Health Services
-
Boehringer Ingelheim Gainesville GA Occupational Health Services
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.