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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: October 25, 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
Open in Google Maps ↗

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 Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atrium Health Community Care Primary Care West Blvd Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,215

Medicare enrollment records show 2,215 clinicians reassign Medicare billing to Atrium Health Community Care Primary Care West Blvd Family Medicine, which bills Medicare for the services they deliver. Of these, 196 practice at this address and 1,388 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner499
Pediatric Medicine229
Emergency Medicine143
General Surgery133
Orthopedic Surgery130
Psychiatry128
Obstetrics/Gynecology101
Internal Medicine90
51 other specialties762

Nearest to this location (20)

See all 2,215
Sarah Abt, FNP
Nurse Practitioner
NPI 1730853151
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOSSame address
Maram Alkhatib, MD
Internal Medicine
NPI 1659639516
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOS✔ Accepts MedicareSame address
Stacey Archer, CNM
Certified Nurse Midwife (CNM)
NPI 1013967199
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1544
✔ PECOSSame address
Rabih Bechara, MD
Pulmonary Disease
NPI 1841240512
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-4490
✔ PECOS✔ Accepts MedicareSame address
Lynn Boardman, MD
Obstetrics/Gynecology
NPI 1003866427
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1544
✔ PECOS✔ Accepts MedicareSame address
Peter Brath, MD
Critical Care (Intensivists)
NPI 1235159625
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-4490
✔ PECOS✔ Accepts MedicareSame address
Rita Brintzenhoffbrown, MD
General Surgery
NPI 1700081890
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts MedicareSame address
Cheryl Courtlandt, MD
Pediatric Medicine
NPI 1801829452
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1422
✔ PECOSSame address
Erin Crane, MD
Gynecological Oncology
NPI 1750594800
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1544
✔ PECOS✔ Accepts MedicareSame address
Anthony Dang, MD
Hospitalist
NPI 1063874204
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOS✔ Accepts MedicareSame address
Lisa Davidson, MD
Infectious Disease
NPI 1316900947
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOS✔ Accepts MedicareSame address
Andrew Delemos, MD
Gastroenterology
NPI 1619098183
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts MedicareSame address
Danielle Englert Doggett, MD
Neurology
NPI 1205049533
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOSSame address
Steven Frick, MD
Orthopedic Surgery
NPI 1790700797
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1340
✔ PECOS✔ Accepts MedicareSame address
Stephen Guice
Urology
NPI 1588660989
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts MedicareSame address
Lejla Hadzikadic Gusic, MD
Surgical Oncology
NPI 1063698686
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts MedicareSame address
Alan Heffner, MD
Emergency Medicine
NPI 1093700460
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOS✔ Accepts MedicareSame address
Chad Jacobsen, MD
Hematology/Oncology
NPI 1649292095
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1422
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Jeffries, MD
Geriatric Medicine
NPI 1437612694
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1242
✔ PECOS✔ Accepts MedicareSame address
Cynthia Lauer
General Practice
NPI 1578644969
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts MedicareSame address
See all 2,215 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Carolinas Medical Center enrolled in Medicare?

Yes. Carolinas Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolinas Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,215 clinicians in 59 Medicare specialties reassign their Medicare billing to Carolinas Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (499), Pediatric Medicine (229) and Emergency Medicine (143). Of these, 196 practice at this address and 1,388 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers 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.