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PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
NPI 1992055941
General Practice in Charlotte, NC

Active since September 18, 2012CLIA 34D2045739 · Waiver
1030 ADMIRAL NELSON COURT, CHARLOTTE, NC 28217(704) 306-9355(704) 306-4614 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Jun 17, 2025, Aug 24, 2022 and 2 more (5 updates tracked since 2020).

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 1992055941), doing business as Vanguard Charlotte, is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Steven Ashley Hinitt, President, as its authorized official.

NPPES Registry Identity

NPI1992055941
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Location Address1030 ADMIRAL NELSON COURTCharlotte, NC 28217
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(704) 306-9355
Fax(704) 306-4614
Organization SubpartNo
Authorized OfficialSteven Ashley HinittPresident · (844) 407-7557
Enumeration DateSeptember 18, 2012
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1992055941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1030 ADMIRAL NELSON COURT, Charlotte, NC 28217
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Other Names 2

Doing Business AsVanguard Charlotte
Doing Business AsVanguard Crewcare Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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 34D2045739

Premise Health Of North Carolina Medical PC · Charlotte, NC
Active · expires Aug 19, 2026
CLIA Number34D2045739
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorWendy Marlow
Laboratory Phone(704) 306-9355
Laboratory LocationPremise Health Of North Carolina Medical PC1030 Admiral Nelson Court, Charlotte, NC 28262
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 1992055941. It was assigned to this organization in the NPPES registry on September 18, 2012. The provider is doing business as Vanguard Charlotte and Vanguard CrewCare Center.

Where is Premise Health Of North Carolina Medical PC located?

Premise Health Of North Carolina Medical PC is located at 1030 Admiral Nelson Court, Charlotte, NC 28217. The listed phone number is (704) 306-9355.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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

Yes. A Certificate of Waiver (number 34D2045739) is associated with this NPI, valid through August 19, 2026. 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 4, 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.