Carolinas Physicians Network Inc
Organization Active NPI Obstetrics & Gynecology Physician · Harrisburg, NC
NPI 1366765893 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1366765893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 4315 Physicians Blvd
Ste 201
Harrisburg, NC 28075-7430 - Phone
- (704) 786-7158
- NPI assigned
- Mar 11, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Scott Rissmiller
- Title
- Enterprise Evp
- Phone
- (704) 355-8675
Practitioners 15
-
Sage E Brook, CNM
-
Monique McKiever, MD
-
Lisa Huffman Nona, CNM
-
Jackie B Pace, FNP
-
Erica Chiodo Welch, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
4315 Physicians Blvd
Ste 201
Harrisburg, NC 28075-7430
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
319 Penny Ln
Concord, NC 28025-1221
Phone (704) 786-7158
Other names
- Atrium Health Women's Care Copperfield OB/GYN
- Copperfield OB/GYN
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 Harrisburg, NC
- Carolina Physical Therapy Associates LLC
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Jeremy Johnson Carter
- Cathartic Counseling Services, PLLC
- Anh Kim Causey
- Caviness Physical Therapy and Wellness
- Nicole Marie Caviness
All providers in Harrisburg, NC · Obstetrics & Gynecology 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.