The Charlotte-Mecklenburg Hospital Authority
Organization Active NPI Gynecology Physician · Concord, NC
NPI 1588091177 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1588091177
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gynecology Physician 207VG0400X
- Legal business name
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- Practice address
- 10030 Edison Square Dr NW
Ste 100a
Concord, NC 28027-8308 - Phone
- (704) 403-7670
- NPI assigned
- Sep 27, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
- Name
- Scott Rissmiller
- Title
- Enterprise Evp
- Phone
- (704) 355-8675
Practitioners 16
-
Linda Bresnahan, MD
-
David E. Newman, MD
-
Jeanne A Rollins, MD
-
Poonam Sood, MD
-
Margie H Trent, PAC
-
Amanda Roberts, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2107398 | Cmha Dba Atrium Health Women'S Care GYN | Provider-performed microscopy | Jan 11, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100309000605 | NC | Part B Supplier - Clinic/Group Practice | 2961310685 |
Receives reassigned benefits from 1,831 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Charlotte Mecklenburg Hospital Authority
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician |
207VG0400X | Yes |
Addresses
Primary practice location
10030 Edison Square Dr NW
Ste 100a
Concord, NC 28027-8308
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- Atrium Health Women's Care GYN of the Carolinas
- GYN Care of the Carolinas
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 Concord, NC
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
All providers in Concord, NC · 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.