Organization · Type 2 NPI

Premise Health of Georgia Medical PC

Multi-Specialty Clinic/Center · Port Wentworth, GA

NPI number 1497429518 Active

Practice location

445 Northport Pkwy
Port Wentworth, GA 31407-9267

Fax (912) 228-3058

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

About NPI 1497429518

Premise Health of Georgia Medical PC's National Provider Identifier is 1497429518, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Port Wentworth, GA. The record was last updated on Feb 11, 2026.