The Charlotte-Mecklenburg Hospital Authority
Organization Active NPI Internal Medicine Physician · Rock Hill, SC
NPI 1306269691 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1306269691
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- Practice address
- 1656 Riverchase Blvd
Ste 1400
Rock Hill, SC 29732-2084 - Phone
- (803) 329-9088
- NPI assigned
- Jan 23, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
- Name
- Scott Rissmiller
- Title
- Enterprise Evp
- Phone
- (704) 355-8675
Owned or controlled facilities with NPI records 14
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 5
Practitioners 598
-
Alaa Muslimani, MD
-
Shebli Atrash, MD
-
Kulsum Bano, MD
-
Beth E. Susi, MD
-
Bhanji D. Kundaria, M.D.
-
Sejal Dave, MD
-
Kathryn Ann Barnes, FNP
-
Brian Scott Cope, MD
-
Rami Zebian, M.D.
-
Hillary Vanhoy Absher, NP-C
-
Nabil Ahmad, MD
-
Jing Ai, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1022246 | Levine Cancer Institute - Rock Hill | Accreditation | Jun 28, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Carolinas Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Nov 7, 2007 Nov 7, 2007 |
| Levine Children'S Hospital Pediatrics |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Nov 7, 2007 Nov 7, 2007 |
| Scotland Memorial Hospital, Inc |
Hospital | Operational/Managerial Control | Apr 1, 2009 |
| Jesse Helms Nursing Center |
Skilled nursing facility | Adp of the SNF | Feb 1, 2020 |
| Atrium Health at Home Lincoln |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2009 Jul 1, 2009 |
| Atrium Health at Home Charlotte |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 16, 2007 Jul 1, 2009 |
| Atrium Health at Home Stanly |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 16, 2007 Jul 1, 2009 |
| Atrium Health at Home Union |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Nov 16, 2007 |
| Atrium Health Floyd Medical Center Heyman Hospice Care |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 14, 2021 |
| Atrium Health Hospice Union; Atrium Health Hospice Anson |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jan 12, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120913000839 | SC | Part B Supplier - Clinic/Group Practice | 2961310685 |
Receives reassigned benefits from 14 practitioners 2 other NPIs on this enrollment Practice locations: Rock Hill, SC |
National Provider Directory
- Part of
- Charlotte Mecklenburg Hospital Authority
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Hematology & Oncology Physician |
207RH0003X |
Addresses
Primary practice location
1656 Riverchase Blvd
Ste 1400
Rock Hill, SC 29732-2084
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- Levine Cancer Institute
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 Rock Hill, SC
- Vipul V Thakkar
- Karen Thao
- The Ari Center, LLC
- The Carolina Center for Rheumatology and Arthritis Care, PA
- The Center for Oral & Maxillofacial Surgery
- The Charlotte-Mecklenburg Hospital Authority
- The Cove Collective LLC
- The Dove Center, LLC
- The Hearing Post LLC
- The Journey Behavioral and Wellness Clinic, LLC
All providers in Rock Hill, SC · Internal Medicine Physician in South 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.