PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
NPI 1063188472
Clinic/Center - Multi-Specialty in Cleveland, NC
About Premise Health Of North Carolina Medical, P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C (NPI 1063188472), doing business as Chs North Carolina Medical Pc, is a healthcare organization registered as a multi-specialty in Cleveland, North Carolina and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Jonathan B Leizman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
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 34D2093511
Premise Health Of North Carolina Medical, PC · Cleveland, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, NC 27013
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 1063188472. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as DTNA - Cleveland Truck Occ. The provider was formerly known as Chs North Carolina Medical PC.
Where is Premise Health Of North Carolina Medical, P.C located?
Premise Health Of North Carolina Medical, P.C is located at 11550 Statesville Blvd, Cleveland, NC 27013. The listed phone number is (704) 645-5997.
What is Premise Health Of North Carolina Medical, P.C's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of North Carolina Medical, P.C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2093511) is associated with this NPI, valid through March 29, 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, P.C was last updated on October 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
