PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1063828366
Clinic/Center in Mooresville, NC
- Organization
- Clinic/Center
- CLIA Number: 34D1050700
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-08-2028
About PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
This page provides the complete NPI Profile along with additional information for Premise Health Of North Carolina Medical Pc, a provider established in Mooresville, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063828366 assigned on July 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Steven Ashley Hinitt (President)
- NPI
- 1063828366 Verify this NPI
- Provider Name
- PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1000 LOWES BLVD MOORESVILLE, NC 28117
- Location Phone
- (704) 758-2000
- Location Fax
- (704) 757-0510
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2014
- Last Update Date
- 01-29-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D1050700
- Facility Type
- Physician Office
- Certificate Effective Date
- February 09, 2026
- Certificate Expiration Date
- February 08, 2028
- Laboratory Director
- ELIZABETH BAKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premise Health Of North Carolina Medical Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063828366, enumerated as an "organization" on July 08, 2014.
The provider is located at 1000 LOWES BLVD MOORESVILLE, NC 28117 and the phone number is (704) 758-2000.
Clinic/Center with taxonomy code 261Q00000X.
