Carolinas Physicians Network Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Practice address

112 E 1St St
Oakboro, NC 28129-9715

Phone

(980) 323-5240

NPI assigned

Oct 21, 2014

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 Oakboro Family Medicine Doing business as
• Oakboro 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

Cotswold Urgent Care

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Kate Campbell, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1366922338
  NPD
• Amy E Carriker, FNP

  • Nurse Practitioner
  • Oakboro, NC
  • NPI 1437468972
  NPD
• Joseph Michael Coleman, PA

  • Physician Assistant
  • Monroe, NC
  • NPI 1740420199
  NPD
• James Marshall Palmer, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1861692659
  NPD
• April Fleming Parker, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1760660575
  NPD
• Amber Sisenstein, PA

  • Physician Assistant
  • Mint Hill, NC
  • NPI 1720509169
  NPD
• Lawson Gatlin, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
  • NPI 1760986400
  NPD
• Mark Andrew Martin, MD

  • Family Medicine Physician
  • Easley, SC
  • NPI 1326032566

  Family Medicine

  NPD
• Thai Bao Tran, NP

  • Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1972195527
  NPD

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1861896789",
    "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": "112 E 1ST ST",
            "city": "OAKBORO",
            "state": "NC",
            "postal_code": "281299715",
            "telephone_number": "980-323-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2014-10-21",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": "112 E 1st St",
            "city": "Oakboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281299715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Primary Care Oakboro Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakboro Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Nicole Allen, PA
• Penny Anderson-Breslin, MA, NCC, NCLPC
• Charles T. Bobo, DMD
• Amy E Carriker, FNP
• Son Cha
• Charles T Bobo DMD PLLC
• CHS Pharmacy Services Inc
• Paula Troutman Fox, RN,GCC

• All providers in Oakboro, NC
• 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.