PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1790202133
Clinic/Center - Multi-Specialty in Raleigh, NC

Active since August 25, 2017CLIA Certified · 2 labs
337 S SALISBURY ST, RALEIGH, NC 27601(919) 856-5600(919) 856-5658 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2022, Jun 12, 2020, Aug 25, 2017 (3 updates tracked since 2017).

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 1790202133), doing business as Wake County Downtown Campus, is a healthcare organization registered as a multi-specialty in Raleigh, North Carolina and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1790202133
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Location Address337 S SALISBURY STRaleigh, NC 27601-1728
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(919) 856-5658
Organization SubpartNo
Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557
Enumeration DateAugust 25, 2017
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1790202133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
337 S SALISBURY ST, Raleigh, NC 27601

Other Names 1

Doing Business AsWake County Downtown Campus

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premise Health Of North Carolina Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20211104000772Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Premise Health Of North Carolina Medical PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1982950721
9768 HOLLY SPRINGS ROAD
Apex, NC 27539
(919) 599-0988
✔ PECOS12 mi
Nurse Practitioner
NPI 1053397919
800 W WILLIAMS ST
Apex, NC 27502
(919) 363-9363
✔ PECOS13 mi
Clinical Social Worker
NPI 1841781119
3323 COTTON PRESS ST
Raleigh, NC 27614
(317) 507-6450
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1417177486
4113 CAPITOL ST STE A
Durham, NC 27704
(919) 902-7400
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1720042484
1040 E 3RD ST
Siler City, NC 27344
(919) 799-2191
✔ PECOS✔ Accepts Medicare46 mi
Family Practice
NPI 1053534479
24420 MARLBORO ST
Wagram, NC 28396
(910) 369-3136
✔ PECOS74 mi
Nurse Practitioner
NPI 1043309198
6901 MARKET ST
Wilmington, NC 28411
(910) 262-6161
✔ PECOS✔ Accepts Medicare114 mi
Nurse Practitioner
NPI 1144579848
806 JACKSON ST
Columbus, IN 47201
(812) 748-3412
✔ PECOS465 mi
Clinical Social Worker
NPI 1750797247
1330 S LORRAINE RD APT A
Wheaton, IL 60189
(630) 474-3505
✔ PECOS659 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 34D2137706

Premise Health Of North Carolina Medical, PC · Raleigh, NC
Active · expires Oct 2, 2027
CLIA Number34D2137706
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorMelissa Etchison
Laboratory Phone(919) 856-5600
Laboratory LocationPremise Health Of North Carolina Medical, PC337 S Salisbury Street, Ste G110, Raleigh, NC 27601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2137707

Premise Health Of North Carolina Medical, PC · Raleigh, NC
Active · expires Oct 2, 2027
CLIA Number34D2137707
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorTiffany Levins
Laboratory Phone(919) 856-5600
Laboratory LocationPremise Health Of North Carolina Medical, PC220 Swinburne Street, Raleigh, NC 27610
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1790202133. It was assigned to this organization in the NPPES registry on August 25, 2017. The provider is doing business as Wake County Downtown Campus.

Where is Premise Health Of North Carolina Medical PC located?

Premise Health Of North Carolina Medical PC is located at 337 S Salisbury St, Raleigh, NC 27601. The listed phone number is (919) 856-5600.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Premise Health Of North Carolina Medical PC enrolled in Medicare?

Yes. Premise Health Of North Carolina Medical PC is registered in the Medicare PECOS enrollment system.

When is Premise Health Of North Carolina Medical PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premise Health Of North Carolina Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Premise Health Of North Carolina Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Clinical Social Worker (2) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premise Health Of North Carolina Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of North Carolina Medical PC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.