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 General Practice Physician · NPI 1023430113

Premise Health of North Carolina Medical, PC provides General Practice Physician services in Fayetteville, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
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

6650 Ramsey St
Fayetteville, NC 28311-9318
Phone: (910) 630-5203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1023430113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Leizman — President · (216) 479-9063
Other names Goodlife Health Center; Goodlife Health Center
NPI enumeratedJanuary 9, 2014
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address5500 Maryland Way Ste 200, Brentwood, TN 37027-4973

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