Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premise Health of North Carolina Medical, PC

Organization Family Medicine Physician · NPI 1013943646

Premise Health of North Carolina Medical, PC provides Family Medicine Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

121 Park St
Canton, NC 28716-4319
Phone: (828) 235-8414
Fax: (828) 235-9135
Show map & directions

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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