Active NPI
Carolinas Physician Network Inc
Doing business as Atrium Health Levine Children's Arboretum Pediatrics
- Pediatrics Physician
- Albemarle, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CAROLINAS PHYSICIAN NETWORK INC
- Doing business as
- Atrium Health Levine Children's Arboretum Pediatrics
Atrium Health Levine Children's Charlotte Pediatrics
Atrium Health Levine Children's Pediatric Extended Care - Practice address
- 105 Yadkin St
Ste 303
Albemarle, NC 28001-3449 - Phone
- (980) 323-5400
- NPI assigned
- Oct 20, 2014
- Last updated
- Aug 25, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X |
Addresses
Primary practice location
105 Yadkin St
Ste 303
Albemarle, NC 28001-3449
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
2544 Court Dr
Gastonia, NC 28054-3450
Phone (704) 381-3280
Other practice location 2
1900 Scott Ave
Charlotte, NC 28203-6046
Phone (704) 381-3290
Other practice location 3
7800 Providence Rd
Charlotte, NC 28226-2952
Phone (704) 512-2610
Other practice location 4
9625 Northcross Center Ct
Huntersville, NC 28078-7348
Phone (704) 801-1050
Other practice location 5
4501 Cameron Valley Pkwy
Charlotte, NC 28211-4297
Phone (704) 367-7400
Other practice location 6
1085 NE Gateway Ct NE
Concord, NC 28025-2406
Phone (704) 381-3284
Other practice location 7
101 E Wt Harris Blvd
Charlotte, NC 28262-3485
Phone (704) 717-2000
Other practice location 8
5727 Prosperity Crossing Dr
Charlotte, NC 28269-2206
Phone (704) 863-9910
Other practice location 9
332 N Trade St
Matthews, NC 28105-1728
Phone (704) 512-6820
Other practice location 10
13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 512-6100
Other practice location 11
6235 Blakeney Park Dr
Charlotte, NC 28277-5658
Phone (704) 512-5060
Other practice location 12
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3372
Phone (704) 667-2600
Other practice location 13
6030 W Highway 74
Indian Trail, NC 28079-3468
Phone (704) 381-3288
Other practice location 14
709 N Dekalb St
Shelby, NC 28150-3911
Phone (704) 381-3286
Other names 6
- Atrium Health Levine Children's Arboretum Pediatrics
- Atrium Health Levine Children's Charlotte Pediatrics
- Atrium Health Levine Children's Pediatric Extended Care
- Atrium Health Levine Children's Providence Pediatrics
- Atrium Health Levine Children's South Lake Pediatrics
- Atrium Health Levine Children's University Pediatrics
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
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
- Carolinas Physicians Network Inc
Locations
105 Yadkin St
Ste 303
Albemarle, NC 28001
Phone (704) 982-2683
6235 Blakeney Park Dr
Charlotte, NC 28277
Phone (704) 512-5060
7800 Providence Rd
Charlotte, NC 28226
Phone (704) 512-2610
2544 Court Dr
Gastonia, NC 28054
Phone (704) 671-6400
332 N Trade St
Matthews, NC 28105
Phone (704) 302-8500
Practitioners & affiliated clinicians
Practitioners 69
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.
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1013932896
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1396759205
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1275596124
-
- Family Medicine Physician
- Davidson, NC
- NPI 1386264380
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1265667117
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1992970123
-
- Pediatrics Physician
- Goldsboro, NC
- NPI 1699758557
-
- Pediatrics Physician
- Hendersonville, NC
- NPI 1457365207
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1790280527
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1497779003
-
- Social Worker
- Charlotte, NC
- NPI 1336549591
-
- Physician Assistant
- Monroe, NC
- NPI 1285038307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1902200991",
"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": "105 YADKIN ST",
"address_2": "STE 303",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013449",
"telephone_number": "980-323-5400"
}
],
"practiceLocations": [
{
"address_1": "2544 Court Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280543450",
"country_code": "US",
"telephone_number": "704-381-3280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Scott Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282036046",
"country_code": "US",
"telephone_number": "704-381-3290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7800 Providence Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262952",
"country_code": "US",
"telephone_number": "704-512-2610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9625 Northcross Center Ct",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787348",
"country_code": "US",
"telephone_number": "704-801-1050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4501 Cameron Valley Pkwy",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114297",
"country_code": "US",
"telephone_number": "704-367-7400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1085 NE Gateway Ct NE",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252406",
"country_code": "US",
"telephone_number": "704-381-3284",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E Wt Harris Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-717-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "332 N Trade St",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281051728",
"country_code": "US",
"telephone_number": "704-512-6820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13640 Steelecroft Pkwy",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282787565",
"country_code": "US",
"telephone_number": "704-512-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6235 Blakeney Park Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282775658",
"country_code": "US",
"telephone_number": "704-512-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14214 Ballantyne Lake Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773372",
"country_code": "US",
"telephone_number": "704-667-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6030 W Highway 74",
"address_purpose": "LOCATION",
"city": "Indian Trail",
"state": "NC",
"postal_code": "280793468",
"country_code": "US",
"telephone_number": "704-381-3288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "709 N Dekalb St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281503911",
"country_code": "US",
"telephone_number": "704-381-3286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINAS PHYSICIAN NETWORK INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2014-10-20",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"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": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "105 Yadkin St",
"address_2": "Ste 303",
"city": "Albemarle",
"state": "NC",
"country_code": "US",
"postal_code": "280013449",
"country_name": "United States",
"address_type": "DOM"
},
{
"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"
}
],
"other_names": [
{
"organization_name": "Atrium Health Levine Children's Arboretum Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atrium Health Levine Children's Arboretum Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atrium Health Levine Children's Charlotte Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atrium Health Levine Children's Pediatric Extended Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atrium Health Levine Children's Providence Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atrium Health Levine Children's South Lake Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atrium Health Levine Children's University Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albemarle, NC
- Carolinas Hometown Respiratory LLC
- Carolinas Medical Center at Home, LLC (Atrium Health At Home Stanly)
- Carolinas Medical Center at Home, LLC (Atrium Health At Home HME Stanly)
- Carolinas Medical Center-Northeast (NorthEast Plastic & Reconstructive Surgery-Albemarle)
- Carolinas Physician Network Inc (Stanly Central Lab)
- Carolinas Physicians Network Inc (The Sanger Clinic)
- Carolinas Physicians Network Inc (Atrium Health Women's Care Stanly OB/GYN)
- Carolinas Physicians Network Inc (Atrium Health Gastroenterology & Hepatology)
- Carolinas Physicians Network Inc (Carolinas Hospitalist Group - Stanly)
- Carolinas Physicians Network Inc (Albemarle Pulmonary Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.