NPIMap

Premise Health of North Carolina Medical PC

Organization Active NPI Clinic/Center · Mooresville, NC

NPI 1063828366 · NPPES record last updated Jan 29, 2026

Key facts

NPI
1063828366
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Practice address
1000 Lowes Blvd
Mooresville, NC 28117-8520
Phone
(704) 758-2000
Fax
(704) 757-0510
NPI assigned
Jul 8, 2014
Organization subpart
No

Authorized official

Name
Steven Ashley Hinitt
Title
President
Phone
(844) 407-7557

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1050700Premise Health of North Carolina Medical, PC
1000 Lowes Boulevard, Mooresville, NC 28117		Certificate of waiverFeb 8, 2028

National Provider Directory

Tax ID family
Premise Health of North Carolina Medical PC (54 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

1000 Lowes Blvd
Mooresville, NC 28117-8520

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Other names

  • My Health Center At Lowe's Mooresville Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2026.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1063828366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LOWES BLVD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178520",
            "telephone_number": "704-758-2000",
            "fax_number": "704-757-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "HINITT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Health Center At Lowe's Mooresville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Health Center At Lowe's Mooresville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

All providers in Mooresville, NC · Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.