National Provider Identifier

The Charlotte-Mecklenburg Hospital Authority

The Charlotte-Mecklenburg Hospital Authority is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Charlotte, NC and a listed phone number of (704) 444-2400.

NPI 1922563923Charlotte, NCAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated March 13, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1922563923
Provider Type
Organization
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
February 04, 2019
Last Updated
March 13, 2023

Practice Location

  • 447 Billingsley RD
  • Cottage A
  • Charlotte, NC 28211

Phone: (704) 444-2400

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)
  • Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X)
  • Neurology Physician (2084N0400X)
  • Psychiatry Physician (2084P0800X)

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 | Charlotte, NC 28211

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Full Record
NPI
1922563923
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
The Charlotte-Mecklenburg Hospital Authority
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
447 Billingsley RD
Practice Address Line 2
Cottage A
Practice City
Charlotte
Practice State
NC
Practice ZIP Code
28211
Practice Country
US
Practice Phone
(704) 444-2400
Enumeration Date
February 04, 2019
Last Updated
March 13, 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
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Parent Organization TIN
<UNAVAIL>
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Taxonomy Group 4
193200000X Multi-Specialty Group
Certification Date
March 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), Neurology Physician (2084N0400X), Psychiatry Physician (2084P0800X)