Carolinas Physicians Network Inc
Organization Active NPI Internal Medicine Physician · Concord, NC
NPI 1023006707 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1023006707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441 - Phone
- (704) 786-6521
- NPI assigned
- Oct 7, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Scott Rissmiller
- Title
- Enterprise Evp
- Phone
- (704) 355-8675
Member of 19
Practitioners 29
-
Kristen Ann Aleccia, PA-C
-
Kara Gallagher, MD
-
Steven Allen Gold, MD, MPH
-
Tonya M. Hudson, MD
-
Kathleen Tucker, RD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000455 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 1,949 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Locations
13640 Steelecroft Pkwy
Ste 320
Charlotte, NC 28278
Phone (704) 302-8900
101 E Wt Harris Blvd
Ste 1110
Charlotte, NC 28262
Phone (704) 339-1073
5727 Prosperity Crossing Dr
Ste 2200
Charlotte, NC 28269
Phone (704) 618-7894
2090 S US 29 Hwy
China Grove, NC 28023
Phone (704) 403-6800
705 Griffith St
Davidson, NC 28036
Phone (704) 801-7900
12905 Rosedale Hill Ave
Huntersville, NC 28078
Phone (704) 801-1000
6208 Creft Cir
Ste 222
Indian Trail, NC 28079
Phone (704) 882-1666
4949 Professional Park Dr
Ste 10
Kannapolis, NC 28081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- Atrium Health Primary Care Cabarrus Family Medicine
- Cabarrus Family Medicine
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 Concord, NC
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
All providers in Concord, 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 Mar 9, 2023. 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.