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 1538495767

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

6235 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5658
Phone: (704) 512-5060
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 number1538495767
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 enumeratedOctober 22, 2009
Last updated in NPPESMarch 9, 2023
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Other providers in Charlotte