CAROLINAS PHYSICIAN NETWORK, INC. – NPI #1124901251
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CAROLINAS PHYSICIAN NETWORK, INC. is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1124901251 to CAROLINAS PHYSICIAN NETWORK, INC. on July 28, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 CAROLINAS PHYSICIAN NETWORK, INC. below.

NPI Profile for
CAROLINAS PHYSICIAN NETWORK, INC.

NPI Number
1124901251
Enumeration Date

(about 10 months 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 PHYSICIAN NETWORK, INC.
Primary location
915 PEARL PARK WAY
CHARLOTTE, NC 28204
Phone: (704) 468-0480 Fax:
Mailing address
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone: (704) 631-0002 Fax:
Organization Subpart
No
Authorized Official
SCOTT RISSMILLER
PRESIDENT
Phone: (704) 631-0002
Updated
Certification Date
Jul 17, 2025

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
208D00000X
- General Practice (Primary)
207R00000X
- Internal 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.