1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Clinic Center
  6. NPI Profile

PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1003056532
Clinic/Center - Health Service in Winston Salem, NC

Active since February 24, 2009CLIA 34D2174251 · Waiver
5660 UNIVERSITY PKWY, WINSTON SALEM, NC 27105(336) 201-9171(336) 201-9586 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Aug 24, 2022 (2 updates tracked since 2022).

About Premise Health Of North Carolina Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC (NPI 1003056532), doing business as Bcbsnc Employee Health Center Madison Park, is a healthcare organization registered as a health service in Winston Salem, North Carolina and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1003056532
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Location Address5660 UNIVERSITY PKWYWinston Salem, NC 27105-1312
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (888) 830-4255
Phone(336) 201-9171
Fax(336) 201-9586
Organization SubpartNo
Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557
Enumeration DateFebruary 24, 2009
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1003056532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
5660 UNIVERSITY PKWY, Winston Salem, NC 27105
Open in Google Maps ↗

Other Names 1

Doing Business AsBcbsnc Employee Health Center Madison Park

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2174251

Premise Health Of North Carolina Medical PC · Winston-Salem, NC
Active · expires Oct 28, 2027
CLIA Number34D2174251
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorLaura Bayne
Laboratory Phone(336) 341-8416
Laboratory LocationPremise Health Of North Carolina Medical PC1455 Fairchild Road, Winston-Salem, NC 27105
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONICA TOPPIN FNP-C
Nurse Practitioner (Family)
5660 UNIVERSITY PKWY
WINSTON SALEM, NC 27105
Forsyth County (336) 201-9171
NIKOLA TAYLOR RN
Registered Nurse
5660 UNIVERSITY PKWY
WINSTON SALEM, NC 27105
Forsyth County (336) 201-9253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of North Carolina Medical PC's NPI number?

The NPI number for Premise Health Of North Carolina Medical PC is 1003056532. It was assigned to this organization in the NPPES registry on February 24, 2009. The provider is doing business as BCBSNC Employee Health Center madison Park.

Where is Premise Health Of North Carolina Medical PC located?

Premise Health Of North Carolina Medical PC is located at 5660 University Pkwy, Winston Salem, NC 27105. The listed phone number is (336) 201-9171.

What is Premise Health Of North Carolina Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Premise Health Of North Carolina Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2174251) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of North Carolina Medical PC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.