DTNA - CLEVELAND TRUCK OCC
NPI 1861167017
Clinic/Center - Multi-Specialty in Cleveland, NC

Active since August 10, 2021
11550 STATESVILLE BLVD, CLEVELAND, NC 27013(704) 645-5997 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2022, Aug 10, 2021 (2 updates tracked since 2021).

About Dtna - Cleveland Truck Occ NPPES

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

DTNA - CLEVELAND TRUCK OCC (NPI 1861167017) is a healthcare organization registered as a multi-specialty in Cleveland, North Carolina and active in the NPI registry since August 2021. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1861167017
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Location Address11550 STATESVILLE BLVDCleveland, NC 27013-8114
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateAugust 10, 2021
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1861167017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
11550 STATESVILLE BLVD, Cleveland, NC 27013

Other Names 1

Doing Business AsDtna - Cleveland Truck Occ

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
11550 STATESVILLE BLVD
CLEVELAND, NC 27013

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 1861167017. It was assigned to this organization in the NPPES registry on August 10, 2021. The provider is doing business as Dtna - Cleveland Truck Occ.

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

Premise Health Of North Carolina Medical, P.C is located at 11550 Statesville Blvd, Cleveland, NC 27013. The listed phone number is (704) 645-5997.

What is Premise Health Of North 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 North Carolina Medical, P.C was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.