Active NPI
Medical Associates of Rock Hill
- Family Medicine Physician
- Fort Mill, SC
National Provider Identifier
1871817270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL ASSOCIATES OF ROCK HILL
- Practice address
- 704 Gold Hill Rd
Ste 115
Fort Mill, SC 29715-8906 - Phone
- (803) 802-5181
- NPI assigned
- Mar 15, 2010
- Organization subpart
- Yes
- Parent organization
- MEDICAL ASSOCIATES OF ROCK HILL
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
704 Gold Hill Rd
Ste 115
Fort Mill, SC 29715-8906
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names 2
- Atrium Health Primary Care Fort Mill Internal Medicine
- Medical Associates of Fort Mill
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 |
National Provider Directory
National Provider Directory- Part of
- Medical Assoc of Rock H
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Charlotte, NC
- NPI 1396886099
Member Of
-
- Orthopaedic Surgery Physician
- Denver, NC
- NPI 1477884302
Member Of
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Member Of
Locations
704 Gold Hill Rd
Ste 115
Fort Mill, SC 29715
Phone (803) 802-5181
1698 Highway 160 W
#140
Fort Mill, SC 29708
Phone (803) 802-5181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1871817270",
"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": "704 GOLD HILL RD",
"address_2": "STE 115",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158906",
"telephone_number": "803-802-5181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF ROCK HILL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF ROCK HILL",
"enumeration_date": "2010-03-15",
"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": "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": "704 Gold Hill Rd",
"address_2": "Ste 115",
"city": "Fort Mill",
"state": "SC",
"country_code": "US",
"postal_code": "297158906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Atrium Health Primary Care Fort Mill Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Medical Associates of Fort Mill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Mill, SC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.