The Charlotte-Mecklenburg Hospital Authority

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Doing business as

Atrium Health Women's Care Northeast OB/GYN
NorthEast Women's Health & Obstetrics at Renaissance

Practice address

2101 Shiloh Church Rd
Ste 202
Davidson, NC 28036-7601

Phone

(704) 403-7800

NPI assigned

Sep 30, 2013

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs 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 Women's Care Northeast OB/GYN Doing business as
• NorthEast Women's Health & Obstetrics at Renaissance 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

The Charlotte Mecklenburg

Locations

Practitioners 16

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.

• Sage E Brook, CNM

  • Advanced Practice Midwife
  • Charlotte, NC
  • NPI 1952398729
  NPD
• Ginger Ann Dickerson, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1558385062
  NPD
• Hannah Hughes Ehasz, MD

  • Obstetrics & Gynecology Physician
  • Davidson, NC
  • NPI 1154852465
  NPD
• Noreen Claire Graveline, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1699122390
  NPD
• Lynda G Johnson, PHD

  • Psychologist
  • Concord, NC
  • NPI 1942280664
  NPD
• Katherine Beth Little, NP

  • Nurse Practitioner
  • Concord, NC
  • NPI 1578248407
  NPD
• Kayla Marie Marcinizyn, FNP

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1891449047
  NPD
• Monica Nitin Modi

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
  • NPI 1619116605
  NPD
• Lisa Huffman Nona, CNM

  • Advanced Practice Midwife
  • Charlotte, NC
  • NPI 1871889808
  NPD
• Robert Marshall Ramsey, PA-C

  • Physician Assistant
  • Concord, NC
  • NPI 1376013706
  NPD
• Mary C. Russell, MD

  • Family Medicine Physician
  • Concord, NC
  • NPI 1154396778
  NPD
• Gregory F. Shea, PA

  • Physician Assistant
  • Concord, NC
  • NPI 1356442198
  NPD

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1699102012",
    "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": "2101 SHILOH CHURCH RD",
            "address_2": "STE 202",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367601",
            "telephone_number": "704-403-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2013-09-30",
        "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": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal 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": "2101 Shiloh Church Rd",
            "address_2": "Ste 202",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280367601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Women's Care Northeast OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthEast Women's Health & Obstetrics at Renaissance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy B. Tarte, MD
• Heather Taylor Griffith, L.C.S.W.
• Tei- Davidson OD (The Eye Institute OD, PA)
• Nilima Pareshkumar Thakkar, MD
• The Charlotte-Mecklenburg Hospital Authority (Ardsley Internal Medicine-Renaissance Square)
• The Namaste Network
• The Pines at Davidson, Inc.
• Staci Therrien, IBCLC
• Thomas R Ferrell, DDS, PA
• Surinia Stocks Thurman, IBCLC, LMBT

• Obstetrics & Gynecology Physician in Davidson, NC
• Providers in Davidson, NC by specialty
• Obstetrics & Gynecology 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.