CAROLINA NEUROLOGICAL CLINIC – NPI #1700111515
Psychiatry & Neurology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

Health Care Provider Taxonomy Code for Psychiatry & Neurology

CAROLINA NEUROLOGICAL CLINIC is a psychiatry & neurologist located in CHARLOTTE, NC. NPPES has assigned the NPI number 1700111515 to CAROLINA NEUROLOGICAL CLINIC on October 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINA NEUROLOGICAL CLINIC” is a dba name, the actual legal business name for this organization is CAROLINAS PHYSICIANS NETWORK INC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

The NPI profile was previously updated about 3 years ago on Mar 09, 2023. 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 CAROLINA NEUROLOGICAL CLINIC below.

NPI Profile for
CAROLINAS PHYSICIANS NETWORK INC

NPI Number
1700111515
Enumeration Date

(more than 16 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 PHYSICIANS NETWORK INC
Doing Business As (dba): CAROLINA NEUROLOGICAL CLINIC
Other name(s)
All associated names:
Doing Business As (dba)
Atrium Health Neurology Ballantyne
Doing Business As (dba)
Carolina Neurological Clinic
Primary location
15110 JOHN J DELANEY DR
STE 200
CHARLOTTE, NC 28277-3544
Phone: (704) 377-9323 Fax:
Mailing address
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone: (704) 631-0002 Fax:
Organization Subpart
Yes - CAROLINA NEUROLOGICAL CLINIC is subpart of another organization.
Authorized Official
SCOTT RISSMILLER
ENTERPRISE EVP
Phone: (704) 355-8675
Updated
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
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology (Primary)
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology
2084N0400X
- Psychiatry & Neurology / Neurology

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.

View All Endpoint(s)
Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
15110 JOHN J DELANEY DR,
CHARLOTTE, NC 77025-1669