Premise Health of South Carolina Medical, P.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C

Practice address

415 Brockman McClimon Rd
Greer, SC 29651-6608

Phone

(864) 989-1432

NPI assigned

Sep 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jon Leizman, M.D.

Title

President

Phone

(216) 479-9063

Specialties & licenses 1

Addresses

Other names 1

• Associate Family Health Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremie Michael Kenney, FNP-C

  • Family Nurse Practitioner
  • Greer, SC
  • NPI 1174801088
  NPD
• Trisha M Roberts, OD

  • Optometrist
  • Greer, SC
  • NPI 1780731471
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1588090625",
    "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": "415 BROCKMAN MCCLIMON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516608",
            "telephone_number": "864-989-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LEIZMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-479-9063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associate Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associate Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preferred Care Solutions LLC
• Premier Medical Transport Service
• Premier Neurology, PC
• Premise Health of South Carolina Medical PC
• Premise Health of South Carolina Medical, P.C
• Valerie Jean Presley, COTA
• Prestigious Duramed and Incontinence Supplies, LLC
• Virginia June Winston Price, DMD
• Aaron J Pringle Sr.
• Brianna Lashay Prioleau, PMHNP-BC

• Dental Clinic/Center in Greer, SC
• Providers in Greer, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.