NPIMap

Organization Active NPI

The Charlotte-Mecklenburg Hospital Authority

Doing business as Atrium Health Pineville Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Charlotte, NC
National Provider Identifier
1962987131
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
Atrium Health Pineville Rehabilitation Hospital
Practice address
10648 Park Rd
Charlotte, NC 28210-8407
Phone
(704) 667-8000
NPI assigned
Oct 3, 2018
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mr. Kenneth D Haynes
Title
President
Phone
(704) 355-6305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

10648 Park Rd
Charlotte, NC 28210-8407

Mailing address

PO Box 32861
Charlotte, NC 28232-2861
Phone (704) 667-8000

Other names 1

  • Atrium Health Pineville Rehabilitation Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190205002819 NC Part A Provider - Hospital 2961310685 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC
O20190214003148 NC Part A Provider - Hospital 2365353885 Practice locations: Charlotte, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1962987131. Details of each certification follow.

Hospital certification: CCN 340098

Legal name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
ATRIUM HEALTH PINEVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 24, 2008
Beds
344
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jan 1, 2019 (1 total)
Organization structure
OtherNon-profit
Incorporated
Jun 26, 1943 in NC
Enrollment address
10628 Park Rd
Charlotte, NC 28210-8407
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation

Hospital certification: CCN 34T098

Legal name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
ATRIUM HEALTH PINEVILLE REHAB
Organization structure
OtherNon-profit
Incorporated
Jun 26, 1943 in NC
Enrollment address
10648 Park Road
Charlotte, NC 28210-8407
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Atrium Health PinevilleCCN 340098 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Carolinas Medical Center - Pineville RehabilitatioCCN 34T098 · All quality measures
Ownership
Government
Certified
Jan 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Medical Center104 organizations share this tax ID, including this one
Part of
Carolinas Medical Center

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations (25 of 44)

105 Yadkin St
Ste 201
Albemarle, NC 28001
Phone (704) 984-4259

301 Yadkin St
Ste 5
Albemarle, NC 28001
Phone (980) 323-4193

427 N 1st St
Albemarle, NC 28001
Phone (704) 984-4586

923 N 2nd St
Ste 105
Albemarle, NC 28001
Phone (704) 403-1877

923 N 2nd St
Ste 204
Albemarle, NC 28001
Phone (704) 986-6662

1001 Blythe Blvd
Ste 201
Charlotte, NC 28203
Phone (704) 355-6900

10036 Park Cedar Dr
Ste B
Charlotte, NC 28210
Phone (704) 510-9900

101 E W T Harris Blvd
Ste 3301F
Charlotte, NC 28262
Phone (704) 403-8320

101 E Wt Harris Blvd
Ste 5203
Charlotte, NC 28262
Phone (704) 593-0244

101 E Wt Harris Blvd
Ste 5500A
Charlotte, NC 28262
Phone (704) 863-1520

1025 Morehead Medical Dr
Ste 200
Charlotte, NC 28204
Phone (704) 302-8000

1025 Morehead Medical Dr
Ste 2141
Charlotte, NC 28204
Phone (704) 355-6930

10650 Park Rd
#420A
Charlotte, NC 28210
Phone (704) 302-8700

10660 Park Rd
Ste 1100
Charlotte, NC 28210
Phone (980) 442-0865

10660 Park Rd
Ste 1100C
Charlotte, NC 28210
Phone (704) 667-0337

10660 Park Rd
Ste 3300
Charlotte, NC 28210
Phone (704) 667-6010

1237 Harding Pl
Ste 3300
Charlotte, NC 28204
Phone (704) 446-5860

2608 E 7th St
Ste 100D
Charlotte, NC 28204
Phone (704) 403-2626

330 Billingsley Rd
Ste 102
Charlotte, NC 28211
Phone (704) 444-2574

4135 Southstream Blvd
Charlotte, NC 28217
Phone (704) 631-1200

100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370

100 Medical Park Dr
Ste 310
Concord, NC 28025
Phone (704) 403-2860

1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650

1085 NE Gateway Ct NE
Ste 330
Concord, NC 28025
Phone (704) 403-8320

200 Medical Park Dr
Ste 320A
Concord, NC 28025
Phone (704) 403-2777

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary B Gragg Individual Corporate DirectorBoard Member Jan 1, 2020
David a Danzie Individual Corporate DirectorBoard Member Jan 1, 2020
William C Cannon Individual Corporate DirectorVice Chairman - Boc Jul 1, 2007
Angelique R Vincent-Hamacher Individual Corporate DirectorChairman - Boc Jan 1, 2014
Mark E Reed Individual Corporate DirectorVice Chairman & Secretary Boc Jan 1, 2020
Brett J Denton Individual Corporate OfficerAssistant Secretary Jan 1, 2020
Charles F Bowman Individual Corporate DirectorBoard Member Jan 1, 2020
Rodney E Ball Individual W-2 Managing EmployeeAdministrator Jan 3, 2019
Corporate OfficerAssistant Treasurer Feb 11, 2026
Adrienne S H Purdue Individual Corporate DirectorBoard Member Jan 1, 2020
Swati V Daji Individual Corporate DirectorBoard Member Jan 1, 2020
Kenneth D Haynes Individual Corporate OfficerPresident Feb 13, 2017
Corporate DirectorPresident Jan 1, 2023
Felicia H Allen Individual Corporate DirectorBoard Member Jan 1, 2020
Amanda S Houser Individual Corporate DirectorBoard Member Jan 1, 2022
Marshall Carlson Individual Corporate DirectorBoard Member Feb 11, 2016
Bradley Allen Clark Individual Corporate OfficerChief Financial Officer Aug 14, 2023
Nancy J Gritter Individual Corporate DirectorBoard Member Feb 3, 2017
Alicia Campbell Individual W-2 Managing EmployeeVice President - Facility Executive Jan 1, 2020
Hal a Levinson Individual Corporate DirectorBoard Member Feb 11, 2016
Atrium Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Oct 9, 2020
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Michael D Rucker Individual Corporate DirectorBoard Member Jan 1, 2013
Richard T Williams Individual Corporate DirectorBoard Member Jan 28, 2015
William T Niblock Individual Corporate DirectorBoard Member Jan 1, 2013
Carl J. Herring Individual Corporate DirectorBoard Member Jan 1, 2022
Luther Amos Lockwood Individual Corporate DirectorBoard Member Jan 1, 2025
Kenneth F Davis Individual Corporate DirectorBoard Member Jan 1, 2025
Todd Jamal Collins Individual Corporate DirectorBoard Member Jan 1, 2025
Steven Smoot Individual Corporate OfficerPresident Jun 2, 2025
Lucia Zapata Griffith Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cleveland PinesShelby, NC, CCN 345282 Skilled nursing facility Operational/Managerial Control Feb 1, 2020
Atrium Health at Home ClevelandShelby, NC, CCN 347013 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Jul 1, 2009
Atrium Health Hospice & Palliative Care CabarrusKannapolis, NC, CCN 341508 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2007
Atrium Health Floyd Cherokee Medical Center Rural Health Clinic CentreCentre, AL, CCN 013494 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 94

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 94

Practitioners & affiliated clinicians

Practitioners 1,803

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 1,803

Affiliated clinicians 1,276

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,276

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1962987131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32861",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282322861",
            "telephone_number": "704-667-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10648 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-355-6305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Pineville Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Health Pineville Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.