Organization · Type 2 NPI

Premise Health of Tennessee Medical PC

Multi-Specialty Clinic/Center · Jonesborough, TN

NPI number 1720651987 Active

Practice location

501 N Cherokee St Ste 3
Jonesborough, TN 37659-5599

Call (423) 753-0744 Map

Fax (423) 753-4997

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

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

Another provider at this address

Amanda A. Cantwell, NPFamily Nurse Practitioner Jonesborough, TN NPI 1063962728

NPI record

NPI: 1720651987
Entity type: Organization (Type 2)
Issued: Jul 23, 2021
Last updated: Feb 17, 2026
Status: Active

Other names

<unavail>
Washington Co - Jonesborough · doing business as
Washington Co - Jonesborough · 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 1720651987

Premise Health of Tennessee Medical PC's National Provider Identifier is 1720651987, issued on Jul 23, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jonesborough, TN. The record was last updated on Feb 17, 2026.