DTNA - TBB1 HIGH POINT
NPI 1881369049
Clinic/Center - Multi-Specialty in High Point, NC

Q: 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.

Active since August 10, 2021CLIA 34D2093545 · Waiver

1408 COURTESY RD, HIGH POINT, NC 27260(336) 841-5907(336) 450-1086 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

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About Dtna - Tbb1 High Point NPPES

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

DTNA - TBB1 HIGH POINT (NPI 1881369049) is a healthcare organization registered as a multi-specialty in High Point, North Carolina and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1881369049

Entity TypeOrganization

Primary Taxonomy261QM1300X

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

Location Address1408 COURTESY RDHigh Point, NC 27260-7248

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(336) 841-5907

Fax(336) 450-1086

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 1881369049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM1300X

1408 COURTESY RD, High Point, NC 27260

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Other Names 1

Doing Business AsDtna - Tbb1 High Point

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 34D2093545

Premise Health Of North Carolina Medical, PC · High Point, NC

Active · expires Mar 29, 2027

CLIA Number34D2093545

Laboratory TypePhysician Office

Certificate Effective DateMarch 30, 2025

Certificate Expiration DateMarch 29, 2027

Laboratory DirectorDouglas H. Adams

Laboratory Phone(336) 841-5907

Laboratory LocationPremise Health Of North Carolina Medical, PC1408 Courtesy Road, High Point, NC 27260

CLIA data matches this NPI record on: Address 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, P.C's NPI number?

The NPI number for Premise Health Of North Carolina Medical, P.C is 1881369049. It was assigned to this organization in the NPPES registry on August 10, 2021. The provider is doing business as Dtna - Tbb1 High Point.

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

Premise Health Of North Carolina Medical, P.C is located at 1408 Courtesy Rd, High Point, NC 27260. The listed phone number is (336) 841-5907.

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.

Does Premise Health Of North Carolina Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2093545) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.