PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1063828366
Clinic/Center in Mooresville, NC

Active since July 08, 2014CLIA 34D1050700 · Waiver
1000 LOWES BLVD, MOORESVILLE, NC 28117(704) 758-2000(704) 757-0510 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Aug 24, 2022, Jun 12, 2020 (3 updates tracked since 2020).

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 1063828366), doing business as My Health Center At Lowe's Mooresville, is a healthcare organization registered as a clinic/center in Mooresville, North Carolina and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1063828366
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Location Address1000 LOWES BLVDMooresville, NC 28117-8520
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(704) 757-0510
Organization SubpartNo
Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557
Enumeration DateJuly 8, 2014
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1063828366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1000 LOWES BLVD, Mooresville, NC 28117

Other Names 1

Doing Business AsMy Health Center At Lowe's Mooresville

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 34D1050700

Premise Health Of North Carolina Medical, PC · Mooresville, NC
Active · expires Feb 8, 2028
CLIA Number34D1050700
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorElizabeth Baker
Laboratory Phone(704) 757-1228
Laboratory LocationPremise Health Of North Carolina Medical, PC1000 Lowes Boulevard, Mooresville, NC 28117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
1000 LOWES BLVD
MOORESVILLE, NC 28117
Pharmacy (Community/Retail Pharmacy)
1000 LOWES BLVD
MOORESVILLE, NC 28117
Pharmacy
1000 LOWES BLVD
MOORESVILLE, NC 28117
Physician Assistant
1000 LOWES BLVD
MOORESVILLE, NC 28117
Pharmacist
1000 LOWES BLVD, CVS CAREPLUS PHARMACY
MOORESVILLE, NC 28117
Pharmacist
1000 LOWES BLVD
MOORESVILLE, NC 28117

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 1063828366. It was assigned to this organization in the NPPES registry on July 8, 2014. The provider is doing business as My Health Center At Lowe's Mooresville.

Where is Premise Health Of North Carolina Medical PC located?

Premise Health Of North Carolina Medical PC is located at 1000 Lowes Blvd, Mooresville, NC 28117. The listed phone number is (704) 758-2000.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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

Yes. A Certificate of Waiver (number 34D1050700) is associated with this NPI, valid through February 8, 2028. 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 January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.