NPIMap

Organization Active NPI

The Charlotte-Mecklenburg Hospital Authority

  • Psychiatric Hospital Unit
  • Albemarle, NC
National Provider Identifier
1982079802
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Practice address
301 Yadkin St
Albemarle, NC 28001-3441
Phone
(704) 984-4000
NPI assigned
Dec 3, 2015
Organization subpart
Yes
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 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
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

301 Yadkin St
Albemarle, NC 28001-3441

Mailing address

PO Box 32861
Charlotte, NC 28232-2861

Other identifiers 1

IdentifierTypeStateIssuer
3400119SMedicaidNC

Other names 1

  • Atrium Health Stanly Behavioral Health 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 NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425001968 NC Part A Provider - Hospital 2961310685 Practice locations: Albemarle, NC

Hospital certification: CCN 34S119

Legal name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
ATRIUM HEALTH STANLY BEHAVIORAL HEALTH
Organization structure
OtherNon-profit
Incorporated
Jun 26, 1943 in NC
Enrollment address
301 Yadkin St
Albemarle, NC 28001-3441
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Part of
Charlotte Mecklenburg Hospital Authority

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
Scott C Rissmiller Individual Corporate OfficerEvp & Chief Physician Executive Mar 25, 2019
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 OfficerEvp and Chief Legal Officer Jan 1, 2020
Charles F Bowman Individual Corporate DirectorBoard Member Jan 1, 2020
Rodney E Ball Individual W-2 Managing EmployeeAdministrator Jan 3, 2019
Adrienne S H Purdue Individual Corporate DirectorBoard Member Jan 1, 2020
Swati V Daji Individual Corporate DirectorBoard Member Jan 1, 2020
Carol a Lovin Individual Corporate OfficerEvp & Chief Integration Officer Jan 1, 2011
Kenneth D Haynes Individual Corporate OfficerPresident Feb 13, 2017
Corporate DirectorPresident Jan 1, 2023
Felicia H Allen Individual Corporate DirectorBoard Member Jan 1, 2020
Rasu Bickram Shrestha Individual Corporate OfficerEvp & Chief Strategy & Trans Off Feb 1, 2019
Amanda S Houser Individual Corporate DirectorBoard Member Jan 1, 2022
Marshall Carlson Individual Corporate DirectorBoard Member Feb 11, 2016
Rush S Dickson Individual Corporate DirectorBoard Member Jan 1, 2004
Katherine a Ketner Individual Corporate OfficerAssistant Secretary Jan 1, 2023
Bradley Allen Clark Individual Corporate OfficerEvp & Chief Financial Officer Aug 14, 2023
Brian L Freeman Individual W-2 Managing EmployeeVP - Facility Executive Dec 7, 2016
Nancy J Gritter Individual Corporate DirectorBoard Member Feb 3, 2017
Erin P Snyder Individual Corporate OfficerAssistant Secretary Jan 1, 2023
Hal a Levinson Individual Corporate DirectorBoard Member Feb 11, 2016
Nakessha T Lopez Individual Corporate OfficerEvp & Chief People & Culture Off Mar 18, 2024
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
Victoria S Sutton Individual Corporate DirectorVice Chairman - Boc Dec 8, 1992

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 10

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

FacilityTypeRoleSince
Carolinas Medical CenterCharlotte, NC, CCN 340113 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Nov 7, 2007
Nov 7, 2007
Levine Children'S Hospital PediatricsCharlotte, NC, CCN 34T113 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Nov 7, 2007
Nov 7, 2007
Scotland Memorial Hospital, IncLaurinburg, NC, CCN 34T008 Hospital Operational/Managerial Control Apr 1, 2009
Jesse Helms Nursing CenterMonroe, NC, CCN 345097 Skilled nursing facility Adp of the SNF Feb 1, 2020
Atrium Health at Home LincolnLincolnton, NC, CCN 347191 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2009
Jul 1, 2009
Atrium Health at Home CharlotteCharlotte, NC, CCN 347112 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Jul 1, 2009
Atrium Health at Home StanlyAlbemarle, NC, CCN 347113 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Jul 1, 2009
Atrium Health at Home UnionMonroe, NC, CCN 347210 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 16, 2007
Atrium Health Floyd Medical Center Heyman Hospice CareRome, GA, CCN 111524 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Hospice Union; Atrium Health Hospice AnsonMonroe, NC, CCN 341513 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 12, 2011

Owned or controlled facilities with NPI records 14

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

View all 14

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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1982079802",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2015-12-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400119S",
            "state": "NC"
        }
    ],
    "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 Stanly Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.