Organization · Type 2 NPI

Premise Health of Mississippi Medical PC

General Practice Physician · Ecru, MS

NPI number 1194140368 Active

Practice location

305 Highway 346
Ecru, MS 38841-9772

Call (662) 489-2669 Map

Fax (662) 489-2670

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

NPI record

NPI: 1194140368
Entity type: Organization (Type 2)
Issued: Feb 25, 2014
Last updated: Feb 3, 2026
Status: Active

Other names

<unavail>
Ashley Wellness Center · doing business as
Ashley Wellness Center · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194140368

Premise Health of Mississippi Medical PC's National Provider Identifier is 1194140368, issued on Feb 25, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ecru, MS. The record was last updated on Feb 3, 2026.