Organization Active NPI

Carolinas Physician Network Inc

Doing business as Atrium Health Levine Children's Arboretum Pediatrics

  • Pediatrics Physician
  • Albemarle, NC
National Provider Identifier
1902200991
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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 Care3 more in Other names
Practice address
105 Yadkin St
Ste 303
Albemarle, NC 28001-3449
Phone
(980) 323-5400
NPI assigned
Oct 20, 2014
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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)CodeLicenseStatePrimary
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 Doing business as
  • Atrium Health Levine Children's Charlotte Pediatrics Doing business as
  • Atrium Health Levine Children's Pediatric Extended Care Doing business as
  • Atrium Health Levine Children's Providence Pediatrics Doing business as
  • Atrium Health Levine Children's South Lake Pediatrics Doing business as
  • Atrium Health Levine Children's University Pediatrics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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.

View all 69

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

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.

Verify at the official NPI Registry.