Riverbend Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERBEND FAMILY PHYSICIANS

Practice address

9908 Couloak Dr
Ste 202
Charlotte, NC 28216-8678

Phone

(704) 801-3050

NPI assigned

Oct 26, 2009

Organization subpart

Yes

Parent organization

RIVERBEND FAMILY PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Scott RissmillerNPI 1851316558

Title

Enterprise Evp

Phone

(704) 355-8675

Specialties & licenses 1

Addresses

Other names 2

• Atrium Health Primary Care Mountain Island Family Medicine Doing business as
• Riverbend Family Physicians Doing business as

Electronic endpoints 2

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

CLIA laboratory certificates

Part of

East Gaston

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Carolinas Physicians Network Inc

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Charlotte, NC
  • NPI 1396886099

  Member Of

  NPD member
• The Charlotte-Mecklenburg Hospital Authority

  • Orthopaedic Surgery Physician
  • Denver, NC
  • NPI 1477884302

  Member Of

  NPD member

Locations

Practitioners 6

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

• Scott C. Rissmiller, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1851316558
  NPD (past) Authorized official
• Reilly Brielle Kilpatrick, PA

  • Physician Assistant
  • Mount Holly, NC
  • NPI 1487261509
  NPD
• Jeffrey Robert Kirsch, PA

  • Physician Assistant
  • Huntersville, NC
  • NPI 1912937434
  NPD
• Thomas Dane Robinson, PA

  • Physician Assistant
  • Mount Holly, NC
  • NPI 1093489866
  NPD
• Rose Mary Williams, PA

  • Physician Assistant
  • Mount Holly, NC
  • NPI 1811167703
  NPD
• Lolo Dobson

  • Family Medicine Physician
  • Mt Pleasant, NC
  • NPI 1568459386
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1326374307",
    "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": "9908 COULOAK DR",
            "address_2": "STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168678",
            "telephone_number": "704-801-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND FAMILY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERBEND FAMILY PHYSICIANS",
        "enumeration_date": "2009-10-26",
        "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": "9908 Couloak Dr",
            "address_2": "Ste 202",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282168678",
            "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 Mountain Island Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverbend Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie A Rivera, LCMHCA
• Michelle Lorraine Rivera, M.D.
• Nathalie A Rivera
• Rafael Rivera Jr., DDS
• Stephanie Rivera, LCSW
• Isabel Bernadette Rivero
• Sta'Nesha Rivero
• Bree Rivers
• Catherine Danielle Rivers
• Joel Rivers

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.