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PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1144640541
Clinic/Center in Statesville, NC

Active since April 24, 2014CLIA 34D1071709 · Waiver
711 TOMLIN MILL RD, STATESVILLE, NC 28625(704) 876-8500 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 2, 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 1144640541), doing business as My Health Center At Lowe's Stateville, is a healthcare organization registered as a clinic/center in Statesville, North Carolina and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1144640541
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Location Address711 TOMLIN MILL RDStatesville, NC 28625-8332
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(704) 876-8500
Organization SubpartNo
Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557
Enumeration DateApril 24, 2014
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1144640541 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).

711 TOMLIN MILL RD, Statesville, NC 28625
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Other Names 1

Doing Business AsMy Health Center At Lowe's Stateville

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 34D1071709

Premise Health Of North Carolina Medical, PC · Statesville, NC
Active · expires Jul 30, 2027
CLIA Number34D1071709
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDavid Zahm
Laboratory Phone(704) 876-8599
Laboratory LocationPremise Health Of North Carolina Medical, PC711 Tomlin Mill Rd, Statesville, NC 28625
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC's NPI number?

The NPI number assigned to this healthcare provider is 1144640541, enumerated as an "organization" on April 24, 2014.

Where is the provider located?

The provider is located at 711 TOMLIN MILL RD STATESVILLE, NC 28625 and the phone number is (704) 876-8500.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.