PREMISE HEALTH OF GEORGIA MEDICAL, P.C. – NPI #1295584654
Clinic/Center

PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1295584654 to PREMISE HEALTH OF GEORGIA MEDICAL, P.C. on May 16, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMISE HEALTH OF GEORGIA MEDICAL, P.C. below.

NPI Profile for
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.

NPI Number
1295584654
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Primary location
HARTSFIELD-JACKSON ATLANTA INTERNATIONAL AIRPORT (A)
6000 N TERMINAL PKWY (SOUTH TERMINAL)
ATLANTA, GA 30320
Phone: (404) 773-7480 Fax: (404) 714-1275
Mailing address
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone: Fax:
Organization Subpart
No
Authorized Official
JONATHAN LEIZMAN
PRESIDENT
Phone: (615) 468-6270
Updated
Certification Date
May 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.