OrganizationActive
Premise Health of South Carolina Medical, P.C
NPI 1275263501 · Multi-Specialty Clinic/Center · Spartanburg, SC
Provider details
- NPI number
- 1275263501
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, Director(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
495 Cedar Crest Rd
Spartanburg, SC 29301-5101
Phone: (615) 468-3188
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names (DBA / former)
- Doing business as
- Adidas Spg Health Center DC1
- Doing business as
- Adidas Spg Health Center DC1
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.