STATE HEALTH PLAN PRIMARY CARE CENTER
NPI 1013943646
Family Medicine in Canton, NC

Q: What is Premise Health Of North Carolina Medical, P.C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 24, 2006

121 PARK ST, CANTON, NC 28716(828) 235-8414(828) 235-9135 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About State Health Plan Primary Care Center NPPES

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

STATE HEALTH PLAN PRIMARY CARE CENTER (NPI 1013943646) is a healthcare organization registered as a family medicine in Canton, North Carolina and active in the NPI registry since June 2006. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1013943646

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C

Location Address121 PARK STCanton, NC 28716-4319

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(828) 235-8414

Fax(828) 235-9135

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateJune 24, 2006

Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1013943646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

121 PARK ST, Canton, NC 28716

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Other Names 1

Doing Business AsState Health Plan Primary Care Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, P.C's NPI number?

The NPI number for Premise Health Of North Carolina Medical, P.C is 1013943646. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as State Health Plan Primary Care Center.

Where is Premise Health Of North Carolina Medical, P.C located?

Premise Health Of North Carolina Medical, P.C is located at 121 Park St, Canton, NC 28716. The listed phone number is (828) 235-8414.

What is Premise Health Of North Carolina Medical, P.C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Premise Health Of North Carolina Medical, P.C was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.