Active NPI
Carolinas Physicians Network Inc
- Gastroenterology Physician
- Denver, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 1585 Forney Creek Pkwy
Ste 2350
Denver, NC 28037-9514 - Phone
- (980) 212-4000
- NPI assigned
- Oct 15, 2015
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Hepatology Physician | 207RI0008X |
Addresses
Primary practice location
1585 Forney Creek Pkwy
Ste 2350
Denver, NC 28037-9514
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
10650 Park Rd
Ste 480
Charlotte, NC 28210-8538
Phone (704) 667-0520
Other practice location 2
441 McAlister Rd
Lincolnton, NC 28092-4126
Phone (980) 212-4000
Other practice location 3
16455 Statesville Rd
Ste 200
Huntersville, NC 28078-7135
Phone (704) 801-3011
Other practice location 4
1225 Harding Pl
Ste 5100
Charlotte, NC 28204-2826
Phone (704) 355-8850
Other names 1
- Atrium Health Gastroenterology & Hepatology
Electronic endpoints 2
| 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider Directory- Part of
- Cotswold Urgent Care
Locations
10502 Park Rd
Charlotte, NC 28210
Phone (937) 433-7536
3030 Randolph Rd
Ste 300
Charlotte, NC 28211
123 Professional Park Dr
Locust, NC 28097
Phone (704) 403-6760
Practitioners & affiliated clinicians
Practitioners 52
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Transplant Hepatology Physician
- Huntersville, NC
- NPI 1215324371
Gastroenterology
-
- Family Nurse Practitioner
- Concord, NC
- NPI 1114694429
-
- Family Nurse Practitioner
- Huntersville, NC
- NPI 1225569965
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1720378730
Gastroenterology
-
- Physician Assistant
- Matthews, NC
- NPI 1083844666
-
- Colon & Rectal Surgery Physician
- Charlotte, NC
- NPI 1992773824
-
- Physician Assistant
- Wilmington, NC
- NPI 1053805523
-
- Nurse Practitioner
- Charlotte, NC
- NPI 1902998115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1679944706",
"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": "1585 FORNEY CREEK PKWY",
"address_2": "STE 2350",
"city": "DENVER",
"state": "NC",
"postal_code": "280379514",
"telephone_number": "980-212-4000"
}
],
"practiceLocations": [
{
"address_1": "10650 Park Rd",
"address_2": "Ste 480",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-667-0520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "441 McAlister Rd",
"address_purpose": "LOCATION",
"city": "Lincolnton",
"state": "NC",
"postal_code": "280924126",
"country_code": "US",
"telephone_number": "980-212-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16455 Statesville Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787135",
"country_code": "US",
"telephone_number": "704-801-3011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 Harding Pl",
"address_2": "Ste 5100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042826",
"country_code": "US",
"telephone_number": "704-355-8850",
"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": "2015-10-15",
"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": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hepatology",
"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": "1225 Harding Pl",
"address_2": "Ste 5100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042826",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Atrium Health Gastroenterology & Hepatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, NC
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Daniel Owen Carson, D.D.S.
- Heather Pearson Caruolo, DPT
- Clarissa A Caskey, MA, LPC-A
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.