NPIMap

Organization Active NPI

Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Huntersville, NC
National Provider Identifier
1508892746
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Practice address
12905 Rosedale Hill Ave
Huntersville, NC 28078-3341
Phone
(704) 801-1000
NPI assigned
Jun 22, 2006
Organization subpart
Yes
Parent organization
CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

12905 Rosedale Hill Ave
Huntersville, NC 28078-3341

Mailing address

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

Other names 1

  • Atrium Health Urgent Care Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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 NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031219000455 NC Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1,949 practitioners
This NPI is an additional NPI on the enrollment
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
O20130226000082 NC DME Supplier - Physician - General Practice 3375449655 Practice locations: Huntersville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0935029Atrium Health Urgent Care - Huntersville12905 Rosedale Hill Avenue, Huntersville, NC 28078Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Cotswold Urgent Care

Member of 20

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

View all 20

Member organizations 76

Organizations listed as members of this organization in the National Provider Directory.

View all 76

Locations

105 Yadkin St
Ste 101
Albemarle, NC 28001
Phone (704) 474-3171

420 Park St
Ste 105
Belmont, NC 28012
Phone (704) 631-1820

7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808

5801 Executive Center Dr
Ste 100
Charlotte, NC 28212
Phone (704) 567-1977

10210 Couloak Dr
Charlotte, NC 28216

2630 E 7th St
Charlotte, NC 28204
Phone (704) 355-9484

11530 Providence Rd
Ste 1300
Charlotte, NC 28277
Phone (704) 667-0780

720 E Morehead St
Charlotte, NC 28202

200 Medical Park Dr
Ste 230
Concord, NC 28025
Phone (704) 403-1349

1085 NE Gateway Ct NE
Ste 200A
Concord, NC 28025
Phone (704) 403-8650

16455 Statesville Rd
Ste 106
Huntersville, NC 28078
Phone (704) 801-1085

9625 Northcross Center Ct
Ste 102
Huntersville, NC 28078
Phone (704) 403-2860

3396 Cloverleaf Pkwy
Kannapolis, NC 28083
Phone (704) 403-7740

447 McAlister Rd
Ste 2400
Lincolnton, NC 28092
Phone (980) 212-6500

1106 Reynolds St
Ste 202
Monroe, NC 28112

150 Professional Park Dr
Ste 400
Mooresville, NC 28117
Phone (704) 801-7350

1010 E Dixon Blvd
#B
Shelby, NC 28152
Phone (980) 487-2900

9673 Redstone Dr Ste 300
Fort Mill, SC 29707

9623 Redstone Dr
Ste 300
Indian Land, SC 29707
Phone (704) 667-4840

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1508892746",
    "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": "12905 ROSEDALE HILL AVE",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783341",
            "telephone_number": "704-801-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2006-06-22",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal 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": "12905 Rosedale Hill Ave",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280783341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • 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.