DTNA - GASTONIA OCC
NPI 1568137719
Clinic/Center - Multi-Specialty in Gastonia, NC
NPI Status: Active since August 10, 2021
Contact Information
1400 TULIP DR
GASTONIA, NC
ZIP 28052
Phone: (704) 868-5703
Fax: (704) 868-5787
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 34D2132447
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-19-2027
About DTNA - GASTONIA OCC
This page provides the complete NPI Profile along with additional information for Dtna - Gastonia Occ, a provider established in Gastonia, North Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1568137719 assigned on August 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Dtna - Gastonia Occ. The authorized official of this NPI record is Jon Leizman Md (President)
- NPI
- 1568137719
- Provider Legal Name
- PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
- Other Organization Name
- DTNA - GASTONIA OCC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1400 TULIP DR GASTONIA, NC 28052
- Location Phone
- (704) 868-5703
- Location Fax
- (704) 868-5787
- Mailing Address
- 5500 MARYLAND WAY BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2021
- Last Update Date
- 08-24-2022
- Code Navigator
Location Map
Secondary Locations
- 2605 Green Meadow Dr
Gastonia, NC 28052
(704) 586-8292
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2132447
- Facility Type
- Physician Office
- Certificate Effective Date
- June 20, 2025
- Certificate Expiration Date
- June 19, 2027
- Laboratory Director
- PAUL STEADMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dtna - Gastonia Occ to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568137719, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568137719, enumerated as an "organization" on August 10, 2021.
The provider is located at 1400 TULIP DR GASTONIA, NC 28052 and the phone number is (704) 868-5703.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
