# PREMISE HEALTH OF GEORGIA MEDICAL, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CarePort at Health Central
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295584654
- **Authorized official:** JONATHAN LEIZMAN MD (PRESIDENT)
- **Authorized official phone:** (615) 468-6270

## Contact information

- **Practice address:** HARTSFIELD-JACKSON ATLANTA INTERNATIONAL AIRPORT (A), 6000 N TERMINAL PKWY (SOUTH TERMINAL), ATLANTA, GA 30320
- **Practice address phone:** (404) 773-7480
- **Practice address fax:** (404) 714-1275
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 05/16/2024