NPIMap

Organization Active NPI

Carolinas Physicians Network Inc

Doing business as Atrium Health Imaging Cleveland

  • Diagnostic Radiology Physician
  • Shelby, NC
National Provider Identifier
1386426864
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Doing business as
Atrium Health Imaging Cleveland
Practice address
201 E Grover St
Shelby, NC 28150-3917
Phone
(980) 487-3142
NPI assigned
Oct 18, 2023
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Scott Rissmiller, MD
Title
President
Phone
(704) 631-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

201 E Grover St
Shelby, NC 28150-3917

Mailing address

PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002

Other names 1

  • Atrium Health Imaging Cleveland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, CO, WI, MS, TX, OR, KS, PA, GA, VA, CA, HI, WA, UT, FL, IL, MD, MA, OH, NV, MI22 enrollments

Enrollment records 22

Enrollment IDStateProvider typePAC IDDetails
O20031209000106 SC Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 359 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rock Hill, SC; Fort Mill, SC; Lancaster, SC; Indian Land, SC; Greenville, SC
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
O20240502003119 CO Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 5 practitioners
Practice locations: Parker, CO; Pagosa Springs, CO; Colorado Springs, CO; Denver, CO
O20240508000806 WI Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Beloit, WI
O20240513000880 MS Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS
O20240521003716 TX Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 3 practitioners
Practice locations: Dripping Springs, TX; Houston, TX; Spicewood, TX
O20240529003901 OR Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: La Grande, OR; Portland, OR
O20240603002502 KS Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: Hays, KS; Topeka, KS
O20240606001016 PA Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: Doylestown, PA; Paoli, PA
O20240621001645 GA Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, GA; Macon, GA
O20240628002385 VA Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Glen Allen, VA; Leesburg, VA; Middleburg, VA
O20240703003994 CA Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington Beach, CA; San Diego, CA
O20240703004190 HI Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20240704000697 WA Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA; Liberty Lake, WA
O20240704000736 UT Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: Sandy, UT; St George, UT
O20240723002484 FL Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sarasota, FL; Wellington, FL; Palm City, FL; Melbourne Beach, FL; Cocoa Beach, FL
O20240809001611 IL Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL
O20240809001647 MD Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, MD
O20240816001310 MA Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, MA
O20240913002363 OH Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 2 practitioners
Practice locations: New Albany, OH; Westlake, OH
O20241011001841 NV Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20241021000973 MI Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Part of
Carolinas Physicians Network Inc

Member of 3

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

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1386426864",
    "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": "201 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503917",
            "telephone_number": "980-487-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "RISSMILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-631-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Imaging Cleveland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Health Imaging Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.

Verify at the official NPI Registry.