South Charlotte Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH CHARLOTTE PRIMARY CARE

Doing business as

Atrium Health Primary Care South Charlotte Internal Medicine
South Charlotte Primary Care

Practice address

7030 Pineville Matthews Rd
Charlotte, NC 28226-8298

Phone

(704) 667-4150

NPI assigned

Jun 27, 2006

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH CHARLOTTE PRIMARY CAREAs 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 Primary Care South Charlotte Internal Medicine Doing business as
• South Charlotte Primary Care Doing business as

Electronic endpoints 2

Part of

South Charlotte Primary Care

Member of 2

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

• Carolinas Physicians Network Inc

  dba Charles Crumley MD

  • Internal Medicine Physician
  • Lincolnton, NC
  • NPI 1639108533

  Member Of

  NPD member
• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Surgical Oncology Physician
  • Monroe, NC
  • NPI 1124393657

  Member Of

  NPD member

Practitioners 1

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.

• Rhisti Shrestha, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1578083697

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1619904430",
    "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": "7030 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268298",
            "telephone_number": "704-667-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHARLOTTE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CHARLOTTE PRIMARY CARE",
        "enumeration_date": "2006-06-27",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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": "7030 Pineville Matthews Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282268298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Primary Care South Charlotte Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Charlotte Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Charlotte Dermatology, PC
• South Charlotte General and Vascular Surgery PLLC
• South Charlotte Pain Relief Center, Inc.
• South Charlotte Pediatrics, PLLC
• South Charlotte Physical Therapy LLC
• South Charlotte Rheumatology, PLLC
• South Charlotte Rheumatology, PLLC
• South East Mecklenburg County Health Department
• South Fork Optometric Associates, P.a.
• South Lake Pediatrics

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.