Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premise Health of North Carolina Medical, PC

Organization Family Medicine Physician · NPI 1013943646

Premise Health of North Carolina Medical, PC is a Family Medicine Physician in Canton, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Park St
Canton, NC 28716-4319
Phone: (828) 235-8414
Fax: (828) 235-9135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1013943646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names State Health Plan Primary Care Center; State Health Plan Primary Care Center
NPI enumeratedJune 24, 2006
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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