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RJ REYNOLDS TAYLOR BROTHERS
NPI 1093267411
Clinic/Center - Multi-Specialty in Winston Salem, NC

Active since November 02, 2016CLIA 34D2299133 · Waiver
2415 S STRATFORD RD, WINSTON SALEM, NC 27103(336) 741-1319(336) 218-6787 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Nov 2, 2016 (2 updates tracked since 2016).

About Rj Reynolds Taylor Brothers NPPES

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

RJ REYNOLDS TAYLOR BROTHERS (NPI 1093267411) is a healthcare organization registered as a multi-specialty in Winston Salem, North Carolina and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1093267411
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Location Address2415 S STRATFORD RDWinston Salem, NC 27103-6225
Mailing Address5500 Maryland Way, Suite 400Brentwood, TN 37027-7048
Phone(336) 741-1319
Fax(336) 218-6787
Organization SubpartNo
Authorized OfficialJonathan LeizmanPresident · (216) 479-9063
Enumeration DateNovember 2, 2016
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1093267411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2415 S STRATFORD RD, Winston Salem, NC 27103
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Other Names 1

Doing Business AsRj Reynolds Taylor Brothers

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 34D2299133

Premise Health Of North Carolina, PC · Winston-Salem, NC
Active · expires Feb 13, 2028
CLIA Number34D2299133
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorLaura Bayne
Laboratory Phone(336) 341-8461
Laboratory LocationPremise Health Of North Carolina, PC2599 Empire Dr, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1093267411. It was assigned to this organization in the NPPES registry on November 2, 2016. The provider is doing business as Rj Reynolds Taylor Brothers.

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

Premise Health Of North Carolina Medical, P.C is located at 2415 S Stratford Rd, Winston Salem, NC 27103. The listed phone number is (336) 741-1319.

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 34D2299133) is associated with this NPI, valid through February 13, 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, P.C was last updated on October 13, 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.