Carolinas Physicians Network Inc
Organization Active NPI Hospitalist Physician · Charlotte, NC
NPI 1275968620 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1275968620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 10648 Park Rd
Charlotte, NC 28210-8407 - Phone
- (704) 667-7070
- NPI assigned
- Sep 4, 2013
- 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
Practitioners 13
-
Dana Marie Cummings, CNM
-
Karl Erik Green, MD
-
April Johnson Greene, CNM
-
Jacqueline O'Kane, FNP
-
Gregory S. Pape, MD
-
Olivia Toepfer, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Part of
- Cotswold Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Infectious Disease Physician |
207RI0200X | |||
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
10648 Park Rd
Charlotte, NC 28210-8407
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- Carolinas Hospitalist Group - Carolinas Rehab Pineville
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 Charlotte, NC
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
All providers in Charlotte, NC · Hospitalist Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.