Carolinas Physicians Network Inc

Organization Active NPI Counselor · Mt Pleasant, NC

NPI 1134420052 · NPPES record last updated Mar 9, 2023

Key facts

NPI
1134420052
Entity type
Organization (NPI type 2)
Primary specialty
Counselor 101Y00000X
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Practice address
8560 Cook St
Mt Pleasant, NC 28124-7686
Phone
(704) 436-6521
NPI assigned
Nov 9, 2010
Organization subpart
Yes
Parent organization (as reported)
CAROLINAS PHYSICIANS NETWORK INC

Authorized official

Name
Scott Rissmiller
Title
Enterprise Evp
Phone
(704) 355-8675

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Cotswold Urgent Care (135 organizations share this tax ID)
Part of
Cotswold Urgent Care

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X Yes
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X

Addresses

Primary practice location

8560 Cook St
Mt Pleasant, NC 28124-7686

Mailing address

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

Other names

  • Atrium Health Primary Care Cabarrus Family Medicine Doing business as
  • Cabarrus Family Medicine Doing business as

Electronic endpoints

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

Other providers in Mt Pleasant, NC

All providers in Mt Pleasant, NC · Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.