MEDICARE: PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1689373821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C.

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7020 KIT CREEK RD
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9761
Country	:	US
Telephone Number	:	984-243-9581
Fax Number	:	919-891-1396

Authorized Official
Title or Position	:	LEGAL COUNSEL
Name	:	WILLIAM WRIGHT
Credential	:
Telephone Number	:	615-577-5893

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

Similar Medicare Providers

1881979888 — GALAXY DIAGNOSTICS, INC.
Practice Location Address:

7020 KIT CREEK RD , SUITE 130
MORRISVILLE, NC
27560-9761

Practice Phone: 919-313-9672
Practice Fax: 919-287-2476

1639426281 — SEQUENOM CENTER FOR MOLECULAR MEDICINE LLC
Practice Location Address:

7010 KIT CREEK RD , (PHYSICAL ONLY - NO USPS MAIL DELIVERY)
MORRISVILLE, NC
27560-9761

Practice Phone: 858-202-9051
Practice Fax: 858-408-7847

1326487695 — CLAIRE HOZIER EDGERLY MD
Practice Location Address:

7010 KIT CREEK RD
MORRISVILLE, NC
27560-9761

Practice Phone: 919-748-5929
Practice Fax:

1508215922 — FOUNDATION MEDICINE, INC.
Practice Location Address:

7010 KIT CREEK RD
MORRISVILLE, NC
27560-9761

Practice Phone: 617-418-2200
Practice Fax:

1386352698 — MS. RAVEN SHARIE JONES FNP-BC
Practice Location Address:

5601 ARRINGDON PARK DR STE 420
MORRISVILLE, NC
27560-5676

Practice Phone: 919-997-3000
Practice Fax:

1124535075 — ALEXANDRA GLENN
Practice Location Address:

413 RUBY WALK DR
MORRISVILLE, NC
27560-6740

Practice Phone: 919-445-6985
Practice Fax:

Directions to “PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.