DTNA OCC - GAFFNEY
NPI 1144996539
Clinic/Center - Multi-Specialty in Gaffney, SC

Active since August 17, 2021CLIA 42D2131901 · Waiver
211 WOODLAND RD, GAFFNEY, SC 29341(864) 301-8325(864) 489-1949 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Aug 17, 2021 (2 updates tracked since 2021).

About Dtna Occ - Gaffney NPPES

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

DTNA OCC - GAFFNEY (NPI 1144996539) is a healthcare organization registered as a multi-specialty in Gaffney, South Carolina and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1144996539
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Location Address211 WOODLAND RDGaffney, SC 29341-1055
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(864) 489-1949
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateAugust 17, 2021
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1144996539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
211 WOODLAND RD, Gaffney, SC 29341

Other Names 1

Doing Business AsDtna Occ - Gaffney

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 42D2131901

Premise Health Of South Carolina Medical PC · Gaffney, SC
Active · expires Jun 6, 2027
CLIA Number42D2131901
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorBethany Wilson
Laboratory Phone(864) 581-2255
Laboratory LocationPremise Health Of South Carolina Medical PC211 Woodland Rd, Gaffney, SC 29341
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 2

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

General Practice
211 WOODLAND RD
GAFFNEY, SC 29341
Clinic/Center (Multi-Specialty)
211 WOODLAND RD
GAFFNEY, SC 29341

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 South Carolina Medical, P.C's NPI number?

The NPI number for Premise Health Of South Carolina Medical, P.C is 1144996539. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as Dtna Occ - Gaffney.

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

Premise Health Of South Carolina Medical, P.C is located at 211 Woodland Rd, Gaffney, SC 29341. The listed phone number is (864) 301-8325.

What is Premise Health Of South 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 South Carolina Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2131901) is associated with this NPI, valid through June 6, 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 South Carolina Medical, P.C was last updated on August 23, 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.