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

Charlotte Pediatric Clinic

Organization Pediatrics Physician · NPI 1194052761

Charlotte Pediatric Clinic is a Pediatrics Physician in Charlotte, North Carolina. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

4501 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-4297
Phone: (704) 367-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1194052761
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCharlotte Pediatric Clinic
Authorized official Scott Rissmiller — Enterprise Evp · (704) 355-8675
Other names Atrium Health Levine Children'S Charlotte Pediatrics; Charlotte Pediatric Clinic
NPI enumeratedNovember 3, 2009
Last updated in NPPESMarch 9, 2023
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Other providers in Charlotte