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

Mecklenburg Medical Group

Organization Dermatology Physician · NPI 1093031882

Mecklenburg Medical Group is a Dermatology Physician in Huntersville, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
13
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Practice location Address checks out

16455 Statesville Rd Ste 200
Huntersville, NC 28078-7135
Phone: (704) 302-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Medical Oncology Physician Taxonomy 207RX0202X

Record details

NPI number1093031882
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMecklenburg Medical Group
Authorized official Scott Rissmiller — Enterprise Evp · (704) 355-8675
Other names Atrium Health Primary Care Mecklenburg Medical Group; Mecklenburg Medical Group (Mmg)
NPI enumeratedApril 19, 2010
Last updated in NPPESMarch 9, 2023
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Other providers in Huntersville