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ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE
NPI 1073754131
Internal Medicine in Charlotte, NC

Active since March 18, 2009CLIA 34D2292666 · Microscopy
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Jan 20, 2021, Dec 29, 2020 and 30 more (33 updates tracked since 2016).

About Atrium Health Community Care Primary Care West Blvd Family Medicine NPPES

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

ATRIUM HEALTH COMMUNITY CARE PRIMARY CARE WEST BLVD FAMILY MEDICINE (NPI 1073754131) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through October 26, 2027, maintains 2 additional practice locations, and lists Scott Rissmiller, Evp & Chief Physician Executive, as its authorized official.

NPPES Registry Identity

NPI1073754131
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAROLINAS MEDICAL CENTER
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(704) 446-1242
Organization SubpartYes
Authorized OfficialScott RissmillerEvp & Chief Physician Executive · (704) 631-0002
Enumeration DateMarch 18, 2009
Last NPPES UpdateFebruary 27, 202433 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1073754131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
1350 S KINGS DR, Charlotte, NC 28207
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Other Names 2

Doing Business AsAtrium Health Community Care Primary Care West Blvd Family Medicine
Doing Business AsCmc Faculty Physicians

Secondary Practice Locations 2

Location 11940 West BlvdCharlotte, NC 28208-0000 · Phone (980) 402-1660
Location 24525 Cameron Valley Pkwy, Ste 1600Charlotte, NC 28211-4369 · Phone (704) 512-3800

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 34D2292666

Cpn Inc, Dba Atrium Health - Community Care Primary Care West Blvd Family Medicine · Charlotte, NC
Active · expires Oct 26, 2027
CLIA Number34D2292666
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorCordula D. Lutz
Laboratory Phone(704) 355-8889
Laboratory LocationCpn Inc, Dba Atrium Health - Community Care Primary Care West Blvd Family Medicine1940 West Blvd, Charlotte, NC 28208
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

KRISTINA JASMIN HARRELL MD
Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1422
WILLIAM LANE JR. MD
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
LYNN AMY BOARDMAN MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ALKA H PATEL PHARMD
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1405
PAULA JEANETTE LASTORIA FNP
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1255
GRANT BLANCHARD MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ASHLYNN BRISBEN OVERCASH NP
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
STACEY HAYNES ARCHER CNM
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544

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 Medical Center's NPI number?

The NPI number for Carolinas Medical Center is 1073754131. It was assigned to this organization in the NPPES registry on March 18, 2009. The provider is doing business as Atrium Health Community Care Primary Care West Blvd Family Medicine and CMC Faculty Physicians.

Where is Carolinas Medical Center located?

Carolinas Medical Center is located at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1242.

What is Carolinas Medical Center's specialty?

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

Does Carolinas Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2292666) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolinas Medical Center 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 Medical Center 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 Medical Center was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.