Carolinas Physicians Network Inc
Organization Active NPI Internal Medicine Physician · Charlotte, NC
NPI 1003242876 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1003242876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 10660 Park Rd
Ste 4400
Charlotte, NC 28210-8413 - Phone
- (704) 355-0607
- NPI assigned
- Sep 24, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Scott Rissmiller
- Title
- Enterprise Evp
- Phone
- (704) 355-8675
Practitioners 63
-
Henry L. Burke, MD
-
David A. Cosenza, MD
-
Pamela Gaye Cox, MD
-
Jody Dale Holler, MD
-
Jordan Todd Hoots, FNP
-
Harpreet Kaur, MD
-
Virginia Kitchen, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Locations
4539 Hedgemore Dr
Charlotte, NC 28209
4539 Hedgemore Dr
Ste 100
Charlotte, NC 28209
Phone (704) 331-9413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Infectious Disease Physician |
207RI0200X |
Addresses
Primary practice location
10660 Park Rd
Ste 4400
Charlotte, NC 28210-8413
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
1225 Harding Pl Ste 2100
Charlotte, NC 28204-2826
Phone (704) 331-9669
Other practice location 2
4525 Cameron Valley Pkwy
Ste 4100
Charlotte, NC 28211-4369
Phone (704) 403-1308
Other practice location 3
10650 Park Rd
Ste 480
Charlotte, NC 28210-8538
Phone (704) 468-3518
Other practice location 4
200 Medical Park Dr
Ste 330
Concord, NC 28025-2982
Phone (704) 468-3400
Other practice location 5
1225 Harding Pl
Ste 1100
Charlotte, NC 28204-2826
Phone (704) 667-8860
Other names
- Atrium Health Infectious Disease
- Atrium Health Infectious Disease Pineville
- Atrium Health Infusion Center
- ID Consultants & Infusion Care Specialists
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Other providers in Charlotte, NC
- Carolinas Pain Institute, PA
- Carolinas Pain Institute, PA
- Carolinas Pathology Group, PA
- Carolinas Physician Network, Inc.
- Carolinas Physician Network, Inc.
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
All providers in Charlotte, NC · Internal Medicine 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 May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.