OrganizationActive
Premise Health of North Carolina Medical, P.C
NPI 1629828512 · Multi-Specialty Clinic/Center · Liberty, NC
Provider details
- NPI number
- 1629828512
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Leizman, President(615) 468-6270
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5938 Julian Airport Rd Bldg 801
Liberty, NC 27298-8038
Phone: (743) 557-6962
Fax: (336) 652-3982
Street-level locationGet directions
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names (DBA / former)
- Doing business as
- Tbmnc Ihs
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.