The Charlotte-Mecklenburg Hospital Authority

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Practice address

441 McAlister Rd
Ste 2200
Lincolnton, NC 28092-4126

Phone

(980) 212-6652

NPI assigned

Sep 27, 2013

Organization subpart

Yes

Parent organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

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

Authorized official

Name

Scott Rissmiller

Title

Enterprise Evp

Phone

(704) 355-8675

Specialties & licenses 1

Addresses

Other names 2

• Atrium Health Neurology Doing business as
• Carolinas HealthCare System Neurosciences Institute Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Charlotte Mecklenburg Hospital Authority

Practitioners 7

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

• Yvonne Lynnette Carter, MD

  • Infectious Disease Physician
  • Concord, NC
  • NPI 1386788776
  NPD
• Mandy G. Castor, FNP

  • Nurse Practitioner
  • Davidson, NC
  • NPI 1790010775
  NPD
• Judith Kraus Gais, FNP

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1780651612
  NPD
• Jessica Marie Surane, PA

  • Physician Assistant
  • Concord, NC
  • NPI 1881159341
  NPD
• Jason W. Todd, MD

  • Neurology Physician
  • Huntersville, NC
  • NPI 1780656751
  NPD
• Adrianna Francis Kiafoulis, PA

  • Physician Assistant
  • Bronx, NY
  • NPI 1548916539
  NPD
• Humberto Leal Bailey, M.D

  • Neurology Physician
  • San Antonio, TX
  • NPI 1477902229
  NPD

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1194152777",
    "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": "441 MCALISTER RD",
            "address_2": "STE 2200",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924126",
            "telephone_number": "980-212-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2013-09-27",
        "last_updated": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "RISSMILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ENTERPRISE EVP",
        "authorized_official_telephone_number": "704-355-8675"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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": "441 McAlister Rd",
            "address_2": "Ste 2200",
            "city": "Lincolnton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280924126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas HealthCare System Neurosciences Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deena Marie Taylor
• Susan Rose Taylor, M.A., CCC/SLP
• Donna Tedder, PT
• Meredith Ferguson Tessner, PA-C
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority

• Neurology Physician in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.