Premise Health of North Carolina Medical PC
Organization Active NPI General Practice Physician · Greensboro, NC
NPI 1194336594 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1194336594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
- Practice address
- 7701 Airport Center Dr FL 2
Greensboro, NC 27409-9047 - Phone
- (336) 550-0935
- Fax
- (336) 291-4697
- NPI assigned
- Aug 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Steven Ashley Hinitt
- Title
- President
- Phone
- (844) 407-7557
Corporate family (same tax ID) 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2315645 | Premise Health of North Carolina Medical, PC | Certificate of waiver | Dec 16, 2026 |
National Provider Directory
- Tax ID family
- Premise Health of North Carolina Medical PC
Locations
7701 Airport Center Dr
Fl 2
Greensboro, NC 27409
Phone (336) 550-0935
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
7701 Airport Center Dr FL 2
Greensboro, NC 27409-9047
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names
- Truist Greensboro
NPI Registry JSON
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1194336594",
"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": "7701 AIRPORT CENTER DR FL 2",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099047",
"telephone_number": "336-550-0935",
"fax_number": "336-291-4697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-11",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"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": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Truist Greensboro",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Truist Greensboro",
"code": "3",
"type": "Doing Business As"
}
]
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All providers in Greensboro, NC · General Practice Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.