Premise Health of North Carolina Medical, P.C
Organization Active NPI Primary Care Clinic/Center · Research Triangle, NC
NPI 1770870495 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1770870495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
- Practice address
- 7100-9 Kit Creek Rd
Research Triangle, NC 27709-0001 - Phone
- (919) 392-0536
- Fax
- (919) 941-9351
- NPI assigned
- Jul 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Jon Leizman, MD
- Title
- President
- Phone
- (216) 479-9063
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Premise Health of North Carolina Medical PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
7100-9 Kit Creek Rd
Research Triangle, NC 27709-0001
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names
- LifeConnections Clinic At RTP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.