ADIDAS SPG HEALTH CENTER DC2
NPI 1407586019
Clinic/Center - Multi-Specialty in Spartanburg, SC

Q: 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.

Active since June 15, 2022

670 FALLING CREEK RD, SPARTANBURG, SC 29301(615) 468-3188 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Adidas Spg Health Center Dc2 NPPES

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

ADIDAS SPG HEALTH CENTER DC2 (NPI 1407586019) is a healthcare organization registered as a multi-specialty in Spartanburg, South Carolina and active in the NPI registry since June 2022. The organization lists Jonathan Leizman, Director, as its authorized official.

NPPES Registry Identity

NPI1407586019

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C

Location Address670 FALLING CREEK RDSpartanburg, SC 29301-1063

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(615) 468-3188

Organization SubpartNo

Authorized OfficialJonathan LeizmanDirector · (216) 479-9063

Enumeration DateJune 15, 2022

Last NPPES UpdateAugust 23, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1407586019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

670 FALLING CREEK RD, Spartanburg, SC 29301

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Other Names 1

Doing Business AsAdidas Spg Health Center Dc2

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 1407586019. It was assigned to this organization in the NPPES registry on June 15, 2022. The provider is doing business as Adidas Spg Health Center Dc2.

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

Premise Health Of South Carolina Medical, P.C is located at 670 Falling Creek Rd, Spartanburg, SC 29301. The listed phone number is (615) 468-3188.

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.

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.