The Charlotte-Mecklenburg Hospital Authority

Key facts

NPI

1265869846

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Practice address

12925 Highway 601
Ste 300
Midland, NC 28107-9535

Phone

(704) 888-3702

NPI assigned

Sep 27, 2013

Organization subpart

Yes

Parent organization (as reported)

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Authorized official

Name

Scott Rissmiller

Title

Enterprise Evp

Phone

(704) 355-8675

Practitioners 6

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

• Meredith Davis Bowen, MD Family Medicine Physician · China Grove, NC · NPI 1588861843
  NPD FAMILY MEDICINE
• Emily Michele Green, MD Family Medicine Physician · Kannapolis, NC · NPI 1851955082
  NPD FAMILY MEDICINE
• Theodore M. Kelley, MD Family Medicine Physician · Locust, NC · NPI 1154520823
  NPD FAMILY MEDICINE
• Natalie Bost Spinella, FNP Family Nurse Practitioner · Salisbury, NC · NPI 1902552136
  NPD
• Louis David Viamonte, MD Psychiatry Physician · Concord, NC · NPI 1134416969
  NPD
• Amber Taylor Advanced Practice Midwife · South Bend, IN · NPI 1023618063
  NPD

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Medicare enrollment records

National Provider Directory

Part of

Charlotte Mecklenburg Hospital Authority

Specialties & licenses

Addresses

Other names

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

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2023.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1265869846",
    "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": "12925 HIGHWAY 601",
            "address_2": "STE 300",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281079535",
            "telephone_number": "704-888-3702"
        }
    ],
    "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "12925 Highway 601",
            "address_2": "Ste 300",
            "city": "Midland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281079535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Primary Care Cabarrus Family Medicine Midland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midland Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, NC

• Neha Patil, DO
• Carmella Morrow Pryor, RN, BSN
• Rha Howell Care Center
• Gregory A. Russell, MD
• Tricia Spinner, PA
• The Mental Health Association in North Carolina, Inc.
• Tammy Truett-Porter, CSAC
• Ailene Vayas-Llera, LCMHCA
• Holly Wade
• Jess P West Jr., DDS

All providers in Midland, NC · Family Medicine Physician in North Carolina