Carolinas Physicians Network Inc

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Atrium Health Levine Children's General Surgery
Carolinas HealthCare System Pediatric Surgery

Practice address

1025 Morehead Medical Dr
Ste 275
Charlotte, NC 28204-2963

Phone

(704) 403-2662

NPI assigned

Jul 30, 2013

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs 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 Levine Children's General Surgery Doing business as
• Carolinas HealthCare System Pediatric Surgery Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physicians Network Inc

Locations

Practitioners 4

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.

• Shailendra Singh Chauhan, MD

  • Gastroenterology Physician
  • Charlotte, NC
  • NPI 1164487286
  NPD
• Jeffrey Joseph Dehmer, MD

  • Pediatric Surgery Physician
  • Wilmington, NC
  • NPI 1669691168
  NPD
• Bobbie Fish Long, RD

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1871521310
  NPD
• Mark Alan Williams, MD

  • Pediatric Urology Physician
  • Charlotte, NC
  • NPI 1851496392
  NPD

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1194157388",
    "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": "1025 MOREHEAD MEDICAL DR",
            "address_2": "STE 275",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042963",
            "telephone_number": "704-403-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2013-07-30",
        "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": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "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": "1025 Morehead Medical Dr",
            "address_2": "Ste 275",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Levine Children's General Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas HealthCare System Pediatric Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (Carolinas Hospitalist Group)
• Carolinas Physicians Network Inc (Atrium Health Virtual Visit Employer Solutions)
• Carolinas Physicians Network Inc (Carolinas Hospitalist Group - University - LTAC)
• Carolinas Physicians Network Inc (Atrium Health Levine Children's Adolescent Gynecology)
• Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
• Carolinas Physicians Network Inc (Atrium Health Concierge Care)
• Carolinas Physicians Network Inc (Atrium Health Allergy, Asthma & Immunology)
• Carolinas Physicians Network Inc (Senior Health Connection)
• Carolinas Physicians Network Inc (Atrium Health LiveWell Care)
• Carolinas Physicians Network Inc (Carolinas Hospitalist Group - Carolinas Rehab Pineville)

• Pediatric Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Surgery 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.