PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1417264615
General Practice in Rural Hall, NC

Q: What is Premise Health Of North Carolina Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 09, 2010

531 NORTHRIDGE PARK DR, RURAL HALL, NC 27099(336) 519-6445 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Mar 11, 2025, Aug 24, 2022 and 2 more (5 updates tracked since 2019).

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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 1417264615), doing business as Summit Wellness Center, is a healthcare organization registered as a general practice in Rural Hall, North Carolina and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Winston Salem and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1417264615

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC

Location Address531 NORTHRIDGE PARK DRRural Hall, NC 27099-1384

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

Phone(336) 519-6445

Organization SubpartNo

Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557

Enumeration DateSeptember 9, 2010

Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1417264615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

531 NORTHRIDGE PARK DR, Rural Hall, NC 27099

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Other Names 1

Doing Business AsSummit Wellness Center

Secondary Practice Location 1

Location 11000 E Hanes Mill RdWinston Salem, NC 27105-1384 · Phone (336) 519-6445 · Fax (336) 519-0680

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 34D2010819

Premise Health Of North Carolina Medical, PC · Rural Hall, NC

Expired · Aug 4, 2026

CLIA Number34D2010819

Laboratory TypePhysician Office

Certificate Effective DateAugust 5, 2024

Certificate Expiration DateAugust 4, 2026

Laboratory DirectorDonna Kimrey

Laboratory Phone(336) 519-6445

Laboratory LocationPremise Health Of North Carolina Medical, PC531 Northridge Park Drive, Rural Hall, NC 27045

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC

Clinic/Center (Multi-Specialty)

531 NORTHRIDGE PARK DR
RURAL HALL, NC 27099

Forsyth County (336) 519-6445

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 PC's NPI number?

The NPI number for Premise Health Of North Carolina Medical PC is 1417264615. It was assigned to this organization in the NPPES registry on September 9, 2010. The provider is doing business as Summit Wellness Center.

Where is Premise Health Of North Carolina Medical PC located?

Premise Health Of North Carolina Medical PC is located at 531 Northridge Park Dr, Rural Hall, NC 27099. The listed phone number is (336) 519-6445.

What is Premise Health Of North Carolina Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Premise Health Of North Carolina Medical PC accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Premise Health Of North Carolina Medical PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premise Health Of North Carolina Medical PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.