The Charlotte-Mecklenburg Hospital Authority

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Doing business as

Atrium Health Primary Care Concord Internal Medicine
Concord Internal Medicine

Practice address

200 Medical Park Dr
Ste 550
Concord, NC 28025-2982

Phone

(704) 403-1307

NPI assigned

Sep 3, 2013

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs 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 2

Addresses

Other names 2

• Atrium Health Primary Care Concord Internal Medicine Doing business as
• Concord Internal Medicine Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

The Charlotte-Mecklenburg Hospital Authority

Member of 1

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

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Cabarrus

  • General Acute Care Hospital
  • Concord, NC
  • NPI 1487866315

  Member Of

  NPD member

Practitioners 1

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.

• Solianny Desouza Kennerly, M.D.

  • Hospitalist Physician
  • High Point, NC
  • NPI 1780022335

  Internal Medicine

  NPD

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1326472812",
    "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": "200 MEDICAL PARK DR",
            "address_2": "STE 550",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-403-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2013-09-03",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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": "200 Medical Park Dr",
            "address_2": "Ste 550",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Primary Care Concord Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concord Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Neurology)
• The Charlotte-Mecklenburg Hospital Authority (Cabarrus OB/GYN)
• The Charlotte-Mecklenburg Hospital Authority (HEALTHWORKS - City of Concord Dispensary)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Cabarrus)
• The Charlotte-Mecklenburg Hospital Authority (NorthEast Pediatric Pulmonology)
• The Charlotte-Mecklenburg Hospital Authority (Christopherson Family Medicine)
• The Charlotte-Mecklenburg Hospital Authority (Carolinas Medical Center-NorthEast)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Employer Solutions Care)
• The Charlotte-Mecklenburg Hospital Authority (Concord Women's Specialty Care)
• The Charlotte-Mecklenburg Hospital Authority (NorthEast Neurology-Copperfield)

• Internal Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Internal 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.