MEDICARE: PREMISE HEALTH OF GEORGIA MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1073090791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF GEORGIA MEDICAL PC

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY STE 400
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 FARR RD STE C
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8627
Country	:	US
Telephone Number	:	706-683-0909
Fax Number	:	706-683-9757

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD WILLIAM SCHWARTZ
Credential	:
Telephone Number	:	844-407-7557

Provider Enumeration Date	:	07/25/2018
Last Update Date	:	03/13/2026

Similar Medicare Providers

1871962829 — MOBILE MEDICAL DIAGNOSTICS INC
Practice Location Address:

2920 EDGEWOOD CIR STE 9
COLUMBUS, GA
31907-1892

Practice Phone: 866-218-3754
Practice Fax: 512-852-4482

1457208183 — VITALHEALTH NURSING SERVICES LLC
Practice Location Address:

935 CHESAPEAKE WAY
COLUMBUS, GA
31907-7340

Practice Phone: 706-615-5583
Practice Fax:

1467307710 — MRS. LASHEREE RICHARDSON-JAMES PARAPROFESSIONAL
Practice Location Address:

3859 LESS DR
COLUMBUS, GA
31907-3107

Practice Phone: 404-655-4734
Practice Fax:

1154277929 — REGAN DIANE LONG
Practice Location Address:

4225 UNIVERSITY AVE
COLUMBUS, GA
31907-5679

Practice Phone: 706-507-8800
Practice Fax:

1144224767 — GEORGIA DEPARTMENT OF HUMAN RESOURCES
Practice Location Address:

3000 SCHATULGA RD
COLUMBUS, GA
31907-3117

Practice Phone: 706-568-5000
Practice Fax: 706-568-5339

1396741112 — DR. ANTHONY CHRISTOPHER DOUGHERTY M.D.
Practice Location Address:

3000 SCHATULGA RD
COLUMBUS, GA
31907-3117

Practice Phone: 706-568-5000
Practice Fax:

Directions to “PREMISE HEALTH OF GEORGIA MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.