Carolinas Physicians Network Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Atrium Health Primary Care Troy Family Medicine
Troy Medical Services

Practice address

835 Albemarle Rd
Troy, NC 27371-8682

Phone

(910) 572-2309

NPI assigned

Oct 22, 2014

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 2

Addresses

Other names 2

• Atrium Health Primary Care Troy Family Medicine Doing business as
• Troy Medical Services Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Part of

Diabetes Endocrine Osteopo

Practitioners 7

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.

• Richard Botelho, MD

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1508801374
  NPD
• Janet Labayo Desamero, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1780633743
  NPD
• Kathleen Jones, PA

  • Physician Assistant
  • Wilmington, NC
  • NPI 1447286729
  NPD
• Jamie Pearman, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1881097616
  NPD
• Delilah Rivera Rosario, FNP

  • Nurse Practitioner
  • Matthews, NC
  • NPI 1467180406
  NPD
• Kathleen Keller Siegel, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1629439401
  NPD
• Richard Kent Truslow, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1093263311
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1548664303",
    "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": "835 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273718682",
            "telephone_number": "910-572-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2014-10-22",
        "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": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_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": "835 Albemarle Rd",
            "city": "Troy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273718682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Primary Care Troy Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Troy Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayren Shiver Brantley, R.PH.
• Janet Leone Britt, PA-C
• Melanie Camp, MSW, LCSWA
• Carlyle Dukes Haywood, Jr.
• Carolinas Medical Center at Home, LLC (Healthy@Home-Troy)
• Jeffrey Samuel Carroll, DDS
• Fred C. Christon
• Elizabeth Renukarani Claudius, MD
• Julie Taylor Coggins, FNP
• Michelle Cole, RD, LDN, CDE

• Family Medicine Physician in Troy, NC
• Providers in Troy, NC by specialty
• Family Medicine 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.
• 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.