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KINGS MOUNTAIN INTERNAL MEDICINE
NPI 1063854057
Internal Medicine in Kings Mountain, NC

Active since July 19, 2013CLIA 34D1106171 · Waiver
2202 CAROLINA PL, STE 100, KINGS MOUNTAIN, NC 28086(980) 487-2290 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 36 more (39 updates tracked since 2019).

About Kings Mountain Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGS MOUNTAIN INTERNAL MEDICINE (NPI 1063854057) is a healthcare organization registered as an internal medicine in Kings Mountain, North Carolina and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1063854057
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAROLINAS PHYSICIANS NETWORK INC
Location Address2202 CAROLINA PL, STE 100Kings Mountain, NC 28086-8807
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(980) 487-2290
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateJuly 19, 2013
Last NPPES UpdateMarch 9, 202339 updates tracked since enumeration
✔ NPI 1063854057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2202 CAROLINA PL, Kings Mountain, NC 28086
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Other Names 2

Doing Business AsKings Mountain Internal Medicine
Doing Business AsAtrium Health Primary Care Kings Mountain Internal Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1106171

Cpn, Inc Dba Kings Mountain Internal Medicine · Kings Mountain, NC
Active · expires Oct 6, 2027
CLIA Number34D1106171
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorLaurence M. Kish
Laboratory Phone(980) 487-2240
Laboratory LocationCpn, Inc Dba Kings Mountain Internal Medicine2202 Carolinas Place, Suite 100, Kings Mountain, NC 28086
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA EMEFA KPODO MD
Pediatrics
2202 CAROLINA PL, STE 200
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2950
CARLEIGH WHITAKER NEWELL PA
Physician Assistant
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2290
LAURENCE MICHAEL KISH MD
Internal Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2290
KELLY REYNA RADFORD DO
Family Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2290
CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2270
CHRISTOPHER M. CERJAN MD
Pediatrics
2202 CAROLINA PL, STE 200
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolinas Physicians Network Inc's NPI number?

The NPI number for Carolinas Physicians Network Inc is 1063854057. It was assigned to this organization in the NPPES registry on July 19, 2013. The provider is doing business as Kings Mountain Internal Medicine and Atrium Health Primary Care Kings Mountain Internal Medicine.

Where is Carolinas Physicians Network Inc located?

Carolinas Physicians Network Inc is located at 2202 Carolina Pl Ste 100, Kings Mountain, NC 28086. The listed phone number is (980) 487-2290.

What is Carolinas Physicians Network Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Carolinas Physicians Network Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1106171) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolinas Physicians Network Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list Carolinas Physicians Network Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolinas Physicians Network Inc was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.