Organization · Type 2 NPI

Premise Health of Georgia Medical PC

Multi-Specialty Clinic/Center · Tyrone, GA

NPI number 1932840683 Active

Practice location

105 Saint Stephens Ct Ste A
Tyrone, GA 30290-1716

Fax (770) 415-1519

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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

About NPI 1932840683

Premise Health of Georgia Medical PC's National Provider Identifier is 1932840683, issued on Apr 6, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tyrone, GA. The record was last updated on Feb 5, 2026.