NPIMap

Organization Active NPI

Atrium Health Childrens Specialty Network Inc

Doing business as Atrium Health Levine Children Specialty Center Pediatric Pulmonology

  • Pediatric Endocrinology Physician
  • Hickory, NC
National Provider Identifier
1962218057
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC
Doing business as
Atrium Health Levine Children Specialty Center Pediatric Pulmonology
Atrium Health Levine Children's Pediatric Surgery
Pediatric Endocrinology & Diabetes Specialists
Practice address
1781 Tate Blvd SE
Hickory, NC 28602-4251
Phone
(704) 512-3636
NPI assigned
Dec 4, 2024
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Clifton Rissmiller, MD
Title
President
Phone
(704) 631-0002

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0205X Primary
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X

Addresses

Primary practice location

1781 Tate Blvd SE
Hickory, NC 28602-4251

Mailing address

PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002

Other practice location 1

704 Gold Hill Rd
Fort Mill, SC 29715-8906
Phone (704) 381-8170

Other practice location 2

4501 Cameron Valley Pkwy
Charlotte, NC 28211-4297
Phone (704) 512-3636

Other practice location 3

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 446-3350

Other practice location 4

2550 Court Dr
Gastonia, NC 28054-2152
Phone (704) 512-3636

Other practice location 5

6030 W Highway 74
Indian Trail, NC 28079-3468
Phone (704) 512-3636

Other names 3

  • Atrium Health Levine Children Specialty Center Pediatric Pulmonology Doing business as
  • Atrium Health Levine Children's Pediatric Surgery Doing business as
  • Pediatric Endocrinology & Diabetes Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521003200 NC Part B Supplier - Clinic/Group Practice 5092234187 Receives reassigned benefits from 48 practitioners
Practice locations: Charlotte, NC; Hickory, NC

National Provider Directory

National Provider Directory
Part of
Atrium Health Childrens Specialty Network Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4501 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 365-0760

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1962218057",
    "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": "1781 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024251",
            "telephone_number": "704-512-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Gold Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297158906",
            "country_code": "US",
            "telephone_number": "704-381-8170",
            "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": "704-512-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035866",
            "country_code": "US",
            "telephone_number": "704-446-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Court Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542152",
            "country_code": "US",
            "telephone_number": "704-512-3636",
            "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": "704-512-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "RISSMILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-631-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Levine Children Specialty Center Pediatric Pulmonology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Health Levine Children's Pediatric Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Endocrinology & Diabetes Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Endocrinology & Diabetes Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.