Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolinas Medical Center

Organization Family Medicine Physician · NPI 1073754131

Carolinas Medical Center is a Family Medicine Physician in Charlotte, North Carolina. Works from 3 locations. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
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Practice location Address checks out

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone: (704) 446-1242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1940 West Blvd, Charlotte, NC 28208-0000 — (980) 402-1660
  • 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 — (704) 512-3800

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X

Record details

NPI number1073754131
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCarolinas Medical Center
Authorized official Scott Rissmiller — Evp & Chief Physician Executive · (704) 631-0002
Other names Atrium Health Community Care Primary Care West Blvd Family Medicine; Atrium Health Community Care Primary Care West Blvd Family Medicine; Cmc Faculty Physicians
NPI enumeratedMarch 18, 2009
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 26, 2024
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

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