Active NPI
The Charlotte-Mecklenburg Hospital Authority
- Endocrinology, Diabetes & Metabolism Physician
- Salisbury, NC
National Provider Identifier
1346677929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- Practice address
- 340 Jake Alexander Blvd W
Ste C
Salisbury, NC 28147-1364 - Phone
- (704) 403-8320
- NPI assigned
- Sep 27, 2013
- Organization subpart
- Yes
- Parent organization
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
340 Jake Alexander Blvd W
Ste C
Salisbury, NC 28147-1364
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names 2
- Atrium Health Endocrinology - Salisbury
- NorthEast Endocrinology - Salisbury
Electronic endpoints 2
| 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Charlotte Mecklenburg Hospital Authority
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Concord, NC
- NPI 1982852729
-
- Endocrinology, Diabetes & Metabolism Physician
- Concord, NC
- NPI 1083684385
-
- Endocrinology, Diabetes & Metabolism Physician
- Concord, NC
- NPI 1104898170
-
- Nurse Practitioner
- Atlanta, GA
- NPI 1619392925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1346677929",
"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": "340 JAKE ALEXANDER BLVD W",
"address_2": "STE C",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471364",
"telephone_number": "704-403-8320"
}
],
"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": "2022-11-18",
"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": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"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": "340 Jake Alexander Blvd W",
"address_2": "Ste C",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281471364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Atrium Health Endocrinology - Salisbury",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NorthEast Endocrinology - Salisbury",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, NC
- TGH Phase 2
- Dahvina Thakel
- The Arc Rowan
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Citadel Salisbury LLC
- The Elements Counseling Services PA
- The Legacy Care Home
- The Mental Health Association in North Carolian, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.