NPIMap

Organization Active NPI

The Charlotte-Mecklenburg Hospital Authority

Doing business as Atrium Health Oral Medicine & Maxillofacial Surgery

  • Dentist
  • Charlotte, NC
National Provider Identifier
1104289685
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
Atrium Health Oral Medicine & Maxillofacial Surgery
Carolinas Center for Oral Health
Practice address
1601 Abbey PL
Ste 220
Charlotte, NC 28209-3835
Phone
(704) 512-2110
NPI assigned
Apr 1, 2016
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Scott C Rissmiller, MDNPI 1851316558
Title
Executive VP & Cco
Phone
(704) 355-8675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Oral Medicine DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 125Q00000X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X

Addresses

Primary practice location

1601 Abbey PL
Ste 220
Charlotte, NC 28209-3835

Mailing address

PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002

Other names 2

  • Atrium Health Oral Medicine & Maxillofacial Surgery Doing business as
  • Carolinas Center for Oral Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001689 NC Part B Supplier - Clinic/Group Practice 2365353885 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Charlotte, NC
O20240617001402 NC DME Supplier - Physician - General Practice 5294832598 Practice locations: Charlotte, NC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2146864Atrium Health Oral Medicine & Maxillofacial1601 Abbey Place, Suite 220, Charlotte, NC 28209Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory
Part of
The Charlotte Mecklenburg

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1000 Blythe Blvd
Bldg 2
Charlotte, NC 28203

1085 NE Gateway Ct NE
Ste 160
Concord, NC 28025
Phone (704) 403-8600

301 Medical Park Dr
Ste 202A
Concord, NC 28025
Phone (704) 403-2627

842 Florence St NW
Concord, NC 28027
Phone (704) 788-7640

136 Sparks Dr
Forest City, NC 28043
Phone (828) 286-9036

16455 Statesville Rd
Ste 310
Huntersville, NC 28078
Phone (704) 801-2501

16455 Statesville Rd
Ste 440
Huntersville, NC 28078
Phone (704) 510-9900

315 Weathers St
Shelby, NC 28150
Phone (980) 487-2720

Ownership & related parties

All facility ownership & control disclosures 35

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carolinas Medical CenterCharlotte, NC, CCN 340113 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Nov 7, 2007
Nov 7, 2007
Atrium Health Navicent Rehabilitation HopsitalMacon, GA, CCN 113029 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Floyd Medical CenterRome, GA, CCN 110054 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Floyd Medical Center Behavioral HealthRome, GA, CCN 11S054 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Floyd Medical CenterRome, GA, CCN 11T054 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Navicent the Medical CenterMacon, GA, CCN 110107 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Navicent Behavioral HealthMacon, GA, CCN 11S107 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Navicent PeachByron, GA, CCN 111310 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Navicent PeachByron, GA, CCN 11Z310 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Floyd Polk Medical CenterCedartown, GA, CCN 111330 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Floyd Polk Medical CenterCedartown, GA, CCN 11Z330 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Floyd Cherokee Medical CenterCentre, AL, CCN 010022 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Navicent BaldwinMilledgeville, GA, CCN 110150 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health StanlyAlbemarle, NC, CCN 340119 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 14, 2025
Atrium Health AnsonWadesboro, NC, CCN 340084 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 14, 2025
Atrium Health LincolnLincolnton, NC, CCN 340145 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2026
Atrium Health ClevelandShelby, NC, CCN 340021 Hospital 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2026
Carlyle PlaceMacon, GA, CCN 115680 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Sardis OaksCharlotte, NC, CCN 345331 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2020
Apr 14, 2025
Jesse Helms Nursing CenterMonroe, NC, CCN 345097 Skilled nursing facility Operational/Managerial Control Feb 1, 2020
Huntersville OaksHuntersville, NC, CCN 345096 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2020
Apr 24, 2025
Cleveland PinesShelby, NC, CCN 345282 Skilled nursing facility Operational/Managerial Control Feb 1, 2020
Stanly ManorAlbemarle, NC, CCN 345281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2020
Mar 26, 2026
Atrium Health Navicent Baldwin Skilled Nursing UnitMilledgeville, GA, CCN 115649 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Navicent at HomeMacon, GA, CCN 117023 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health at Home ClevelandShelby, NC, CCN 347013 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Jul 1, 2009
Atrium Health at Home Blue RidgeMorganton, NC, CCN 347181 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 16, 2007
Atrium Health at Home University CityCharlotte, NC, CCN 347254 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2009
Jul 1, 2009
Atrium Health at Home YorkRock Hill, SC, CCN 427131 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 15, 2007
Jul 1, 2009
Atrium Health Hospice & Palliative Care CabarrusKannapolis, NC, CCN 341508 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2007
Atrium Health Navicent Hospice Pine PointeMacon, GA, CCN 111519 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Navicent Primary Care Fort ValleyFort Valley, GA, CCN 118539 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Atrium Health Floyd Cherokee Medical Center Rural Health Clinic PiedmoPiedmont, AL, CCN 013495 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Floyd Cherokee Medical Center Rural Health Clinic CentreCentre, AL, CCN 013494 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Floyd Cherokee Medical Center Rural Health Clinic CherokCentre, AL, CCN 013485 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021

Owned or controlled facilities with NPI records 41

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 41

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1104289685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL",
            "address_2": "STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093835",
            "telephone_number": "704-512-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2016-04-01",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "RISSMILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE VP & CCO",
        "authorized_official_telephone_number": "704-355-8675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1601 Abbey Pl",
            "address_2": "Ste 220",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282093835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Oral Medicine & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas Center for Oral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.