PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1942622766
Clinic/Center - Primary Care in Lumber Bridge, NC

Active since January 14, 2014CLIA 34D2070393 · Waiver
136 CHICKEN PLANT RD, PARCEL 0908 01 001, LUMBER BRIDGE, NC 28357(910) 778-1818 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, Aug 24, 2022 (2 updates tracked since 2022).

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 1942622766), doing business as Mountaire Health And Wellness Center, is a healthcare organization registered as a primary care in Lumber Bridge, North Carolina and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1942622766
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Location Address136 CHICKEN PLANT RD, PARCEL 0908 01 001Lumber Bridge, NC 28357-0000
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (910) 778-1818
Organization SubpartNo
Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557
Enumeration DateJanuary 14, 2014
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1942622766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
136 CHICKEN PLANT RD, Lumber Bridge, NC 28357

Other Names 1

Doing Business AsMountaire Health And Wellness Center

Accepted 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 34D2070393

Premise Health Of North Carolina Medical P C · Lumber Bridge, NC
Active · expires Dec 15, 2027
CLIA Number34D2070393
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorJumoke Ladapo-Wilson
Laboratory Phone(910) 778-1818
Laboratory LocationPremise Health Of North Carolina Medical P C136 Chicken Plant Road, Lumber Bridge, NC 28357
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 PC's NPI number?

The NPI number for Premise Health Of North Carolina Medical PC is 1942622766. It was assigned to this organization in the NPPES registry on January 14, 2014. The provider is doing business as Mountaire Health and Wellness Center.

Where is Premise Health Of North Carolina Medical PC located?

Premise Health Of North Carolina Medical PC is located at 136 Chicken Plant Rd Parcel 0908 01 001, Lumber Bridge, NC 28357. The listed phone number is (910) 778-1818.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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

Yes. A Certificate of Waiver (number 34D2070393) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 5, 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.