National Provider Identifier

Carolinas Physicians Network Inc

Carolinas Physicians Network Inc is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Mount Gilead, NC and a listed phone number of (910) 439-1573.

NPI 1578967485Mount Gilead, NCAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated March 09, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1578967485
Provider Type
Organization
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 21, 2014
Last Updated
March 09, 2023

Practice Location

  • 202 N Main St
  • Mount Gilead, NC 27306-9250

Phone: (910) 439-1573

Mailing Address

  • PO Box 19305
  • Charlotte, NC 28219-9305

Authorized Official

Name
Scott Rissmiller
Title
Enterprise Evp
Phone
(704) 355-8675

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Family Medicine Physician (207Q00000X)

Endpoints

  • https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

    Connect Url | Other | Ability Network | Minneapolis, MN 55403

    2.16.840.1.113883.3.667.2

  • Ambulatory@direct.carolinashealthcare.org

    Direct Messaging Address | Atrium Health | Mount Gilead, NC 27306

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Full Record
NPI
1578967485
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Carolinas Physicians Network Inc
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
PO Box 19305
Mailing City
Charlotte
Mailing State
NC
Mailing ZIP Code
28219-9305
Mailing Country
US
Mailing Phone
(704) 631-0002
Practice Street Address
202 N Main St
Practice City
Mount Gilead
Practice State
NC
Practice ZIP Code
27306-9250
Practice Country
US
Practice Phone
(910) 439-1573
Enumeration Date
October 21, 2014
Last Updated
March 09, 2023
Authorized Official Last Name
Rissmiller
Authorized Official First Name
Scott
Authorized Official Title
Enterprise Evp
Authorized Official Phone
(704) 355-8675
Organization Subpart
Yes
Parent Organization Name
CAROLINAS PHYSICIANS NETWORK INC
Parent Organization TIN
<UNAVAIL>
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Family Medicine Physician (207Q00000X)