ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE – NPI #1073754131
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1073754131 to ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE on March 18, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is CAROLINAS MEDICAL CENTER. This provider is also associated with 2 additional names listed below. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 2 years ago on Feb 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE below.

NPI Profile for
CAROLINAS MEDICAL CENTER

NPI Number
1073754131
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINAS MEDICAL CENTER
Doing Business As (dba): ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE
Other name(s)
All associated names:
Doing Business As (dba)
ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE
Doing Business As (dba)
CMC Faculty Physicians
Primary location
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone: (704) 446-1242 Fax:
2 Other location(s):
1940 West Blvd
Charlotte, NC 28208-0000
Phone: (980) 402-1660
4525 Cameron Valley Pkwy
Ste 1600
Charlotte, NC 28211-4369
Phone: (704) 512-3800
Mailing address
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone: (704) 631-0002 Fax:
Organization Subpart
Yes - ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE is subpart of another organization.
Authorized Official
SCOTT RISSMILLER
EVP & CHIEF PHYSICIAN EXECUTIVE
Phone: (704) 631-0002
Updated
Certification Date
Feb 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
207RS0010X
- Internal Medicine / Sports Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1350 S KINGS DR,
CHARLOTTE, NC 77025-1669