● Active Type 2 · Organization
Premise Health Of Georgia Medical, P.c.
Clinic/Center·Duluth, GA· NPI 1588260111
·
Enumerated 2020 · 5 years on NPI
Premise Health Of Georgia Medical, P.c. is 1 of 65 clinic/center organizations in Georgia.
NPI age
5 years
Enumerated 2020-12-09
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
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3239 Satellite Blvd
Duluth, GA 300964640
📞 6786383554fax 6786388936
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 370274993
Authorized official
Jon Leizman, MD
President
📞 2164799063
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QX0100X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Boehringer Ingelheim Duluth GA Occupational Health Services
Type code 3
recorded 2022-08-24
-
Boehringer Ingelheim Duluth GA Occupational Health Services
Type code 3
recorded 2020-12-09
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
- 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.