Carolinas Physicians Network Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Atrium Health Women's Care Shelby OB/GYN
Shelby Women's Care

Practice address

821 E King St
Kings Mountain, NC 28086-3186

Phone

(980) 487-2800

NPI assigned

Jul 18, 2013

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs 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 1

Addresses

Other names 2

• Atrium Health Women's Care Shelby OB/GYN Doing business as
• Shelby Women's Care Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physician Network Inc

Locations

Practitioners 17

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.

• Emily Jordan Baldwin, FNP

  • Nurse Practitioner
  • Rutherfordton, NC
  • NPI 1366287526
  NPD
• Michael Sean Boger, MD

  • Infectious Disease Physician
  • Concord, NC
  • NPI 1336296151
  NPD
• Lauren Lee Combs, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1043809528
  NPD
• Sunil Ranchhod Ghodasara, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1225660301
  NPD
• Shaniqua Harris, CNM, WHNP-BC

  • Women's Health Nurse Practitioner
  • Kings Mountain, NC
  • NPI 1275231227
  NPD
• Samantha Mitchell Henson, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1194212001
  NPD
• Joseph Robert Hsu, MD

  • Orthopaedic Trauma Physician
  • Charlotte, NC
  • NPI 1083698427
  NPD
• Eric K Lee, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1518378496
  NPD
• Mary Katherine Leesnitzer

  • Advanced Practice Midwife
  • Charlotte, NC
  • NPI 1730957572
  NPD
• Molly Kay McCabe

  • Physician Assistant
  • Concord, NC
  • NPI 1982427266
  NPD
• Harsha G Nagaraja, MD

  • Neurology Physician
  • Monroe, NC
  • NPI 1568606259
  NPD
• Sandra Keys O'Neill, PA

  • Physician Assistant
  • Mooresville, NC
  • NPI 1205803194
  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1487096426",
    "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": "821 E KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863186",
            "telephone_number": "980-487-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Nc 108 Hwy",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281397871",
            "country_code": "US",
            "telephone_number": "828-287-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2013-07-18",
        "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": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "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": "446 Nc 108 Hwy",
            "city": "Rutherfordton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281397871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Women's Care Shelby OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Emergency Physicians, P.a.
• Carolinas Physicians Network Inc (Atrium Health Primary Care Kings Mountain Internal Medicine)
• Carolinas Physicians Network Inc (Carolinas Hospitalist Group - Kings Mountain)
• Carolinas Physicians Network Inc (Sanger Heart and Vascular Institute - Kings Mountain)
• Carolinas Physicians Network Inc (Carolinas Hospitalist Group - Kings Mountain - LTAC)
• Carolinas Physicians Network Inc (Atrium Health Sleep Medicine)
• Carolinas Physicians Network Inc (Atrium Health Ophthalmology)
• Carolinas Physicians Network Inc (Atrium Health Endocrinology)
• Carolinas Physicians Network, Inc. (Cleveland Plastic and Hand Surgery)
• Carolinas Physicians Network, Inc. (Cleveland Pulmonary and Sleep Associates)

• Obstetrics & Gynecology Physician in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Obstetrics & Gynecology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.