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PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
NPI 1255487096
Clinic/Center - Primary Care in Tar Heel, NC

Active since January 26, 2007
16526 NC HIGHWAY 87 W, TAR HEEL, NC 28392(910) 872-5710(910) 872-5711 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Premise Health Of North Carolina Medical, P.c NPPES

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

PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C (NPI 1255487096) is a healthcare organization registered as a primary care in Tar Heel, North Carolina and active in the NPI registry since January 2007. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1255487096
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Location Address16526 NC HIGHWAY 87 WTar Heel, NC 28392-8608
Mailing Address16526 Nc Highway 87 WTar Heel, NC 28392-8608 · (910) 872-5710 · Fax (910) 872-5711
Phone(910) 872-5710
Fax(910) 872-5711
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1255487096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 08321
16526 NC HIGHWAY 87 W, Tar Heel, NC 28392
Open in Google Maps ↗

Other Identifiers 1

Other08321NC · Nc Pharmacy Permit

Other Providers at the Same Location NPPES 10

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

BLADEN LAKES COMMUNITY HEALTH CENTER
Pharmacy (Community/Retail Pharmacy)
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (910) 972-5720
DR. MASHELLE BRADFORD D.O.
Family Medicine
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (919) 753-4673
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Pharmacy (Community/Retail Pharmacy)
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (910) 872-5720
ANNA LEIGH SEUSER PA-C
Physician Assistant
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (877) 935-5255
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Family Medicine
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (910) 872-5720
MICHAEL A SMITH M.D.
Family Medicine
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (910) 872-5700
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Clinic/Center (Federally Qualified Health Center (FQHC))
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (877) 935-5255
LEVERNE LOCKLEAR P.A.
Physician Assistant
16526 NC HIGHWAY 87 W
TAR HEEL, NC 28392
Bladen County (910) 872-5720

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 1255487096. It was assigned to this organization in the NPPES registry on January 26, 2007.

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

Premise Health Of North Carolina Medical, P.C is located at 16526 Nc Highway 87 W, Tar Heel, NC 28392. The listed phone number is (910) 872-5710.

What is Premise Health Of North Carolina Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of North Carolina Medical, P.C was last updated on August 24, 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.