NORTHEAST PLASTIC & RECONSTRUCTIVE SURGERY
NPI 1083041404
Plastic Surgery in Concord, NC

Q: What is The Charlotte-Mecklenburg Hospital Authority's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 30, 2013

200 MEDICAL PARK DR, STE 320, CONCORD, NC 28025(704) 403-2760 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 30 more (33 updates tracked since 2016).

On this page

About Northeast Plastic & Reconstructive Surgery NPPES

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

NORTHEAST PLASTIC & RECONSTRUCTIVE SURGERY (NPI 1083041404) is a healthcare organization registered as a plastic surgery in Concord, North Carolina and active in the NPI registry since September 2013. The organization lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1083041404

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Location Address200 MEDICAL PARK DR, STE 320Concord, NC 28025-2982

Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002

Phone(704) 403-2760

Organization SubpartYes

Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675

Enumeration DateSeptember 30, 2013

Last NPPES UpdateMarch 9, 202333 updates tracked since enumeration

✔ NPI 1083041404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

200 MEDICAL PARK DR, Concord, NC 28025

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Other Names 2

Doing Business AsNortheast Plastic & Reconstructive Surgery

Doing Business AsAtrium Health Plastic & Reconstructive Surgery Cabarrus

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 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)

Northeast Plastic & Reconstructive Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,529

Medicare enrollment records show 1,529 clinicians reassign Medicare billing to Northeast Plastic & Reconstructive Surgery, which bills Medicare for the services they deliver. Of these, 67 practice at this address and 292 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner322

Certified Registered Nurse Anesthetist (CRNA)150

General Surgery110

Internal Medicine84

Hematology/Oncology80

Neurology74

Obstetrics/Gynecology64

Psychiatry60

43 other specialties585

Nearest to this location (20)

See all 1,529

Matthew Abraham, MD

General Surgery

NPI 1588927891

200 MEDICAL PARK DR STE 430
Concord, NC 28025

(704) 403-7070

✔ PECOS✔ Accepts MedicareSame address

Michael Boger, MD

Infectious Disease

NPI 1336296151

200 MEDICAL PARK DR STE 280
Concord, NC 28025

(704) 403-1766

✔ PECOS✔ Accepts MedicareSame address

Kelecia Brown, MD

Obstetrics/Gynecology

NPI 1538315833

200 MEDICAL PARK DR STE 250
Concord, NC 28025

(704) 403-4189

✔ PECOS✔ Accepts MedicareSame address

Jennifer Bunch, DO

Dermatology

NPI 1770792236

200 MEDICAL PARK DR STE 460
Concord, NC 28025

(704) 403-2777

✔ PECOS✔ Accepts MedicareSame address

Yvonne Carter, MD

Infectious Disease

NPI 1386788776

200 MEDICAL PARK DR STE 280
Concord, NC 28025

(704) 403-1766

✔ PECOS✔ Accepts MedicareSame address

Henry Chow, MD

Rheumatology

NPI 1871563775

200 MEDICAL PARK DR SUITE 330
Concord, NC 28025

(704) 403-1308

✔ PECOS✔ Accepts MedicareSame address

Michael Driedger, MD

General Surgery

NPI 1508344805

200 MEDICAL PARK DR STE 430
Concord, NC 28025

(704) 403-5890

✔ PECOSSame address

Charis Gn, MD

Internal Medicine

NPI 1306259700

200 MEDICAL PARK DR STE 330
Concord, NC 28025

(704) 403-1308

✔ PECOS✔ Accepts MedicareSame address

Ashley Green, MD

Rheumatology

NPI 1023453008

200 MEDICAL PARK DR STE 330
Concord, NC 28025

(704) 403-1308

✔ PECOS✔ Accepts MedicareSame address

Aradhana Gupta, MD

Internal Medicine

NPI 1134190283

200 MEDICAL PARK DR STE 300
Concord, NC 28025

(704) 403-3676

✔ PECOSSame address

Luke Harmer, MD

Orthopedic Surgery

NPI 1821430042

200 MEDICAL PARK DR STE 500
Concord, NC 28025

(704) 403-4980

✔ PECOS✔ Accepts MedicareSame address

Brian Jefferson, NP

Nurse Practitioner

NPI 1093886996

200 MEDICAL PARK DR STE 430
Concord, NC 28025

(704) 403-5890

✔ PECOS✔ Accepts MedicareSame address

Adam Ravin, MD

Plastic and Reconstructive Surgery

NPI 1164460465

200 MEDICAL PARK DR STE 520
Concord, NC 28025

(704) 403-2760

✔ PECOS✔ Accepts MedicareSame address

Georgi Brockway, MD

Neurology

NPI 1962629139

100 MEDICAL PARK DR SUITE 310
Concord, NC 28025

(704) 403-2660

✔ PECOS✔ Accepts MedicareSame address

Meredith Chandler, RD

Registered Dietitian or Nutrition Professional

NPI 1164388674

100 MEDICAL PARK DR STE 310
Concord, NC 28025

(704) 381-1450

Same address

Zane Chiad, MD

Hematology/Oncology

NPI 1902334337

100 MEDICAL PARK DR STE 110
Concord, NC 28025

(704) 403-1370

✔ PECOS✔ Accepts MedicareSame address

Kecha Lynshue, MD

Pediatric Medicine

NPI 1467558924

100 MEDICAL PARK DR STE 310B
Concord, NC 28025

(704) 403-2660

✔ PECOSSame address

Alexandria Mara, MD

Medical Oncology

NPI 1053844175

100 MEDICAL PARK DR STE 110
Concord, NC 28025

(704) 403-1370

✔ PECOS✔ Accepts MedicareSame address

Priyesh Patel, MD

Advanced Heart Failure and Transplant Cardiology

NPI 1083858047

100 MEDICAL PARK DR STE 210
Concord, NC 28025

(704) 403-6100

✔ PECOS✔ Accepts MedicareSame address

Sanjeev Shah, MD

Cardiovascular Disease (Cardiology)

NPI 1801012539

100 MEDICAL PARK DR STE 210
Concord, NC 28025

(704) 403-6100

✔ PECOS✔ Accepts MedicareSame address

See all 1,529 clinicians

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

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 The Charlotte-Mecklenburg Hospital Authority's NPI number?

The NPI number for The Charlotte-Mecklenburg Hospital Authority is 1083041404. It was assigned to this organization in the NPPES registry on September 30, 2013. The provider is doing business as Northeast Plastic & Reconstructive Surgery and Atrium Health Plastic & Reconstructive Surgery Cabarrus.

Where is The Charlotte-Mecklenburg Hospital Authority located?

The Charlotte-Mecklenburg Hospital Authority is located at 200 Medical Park Dr Ste 320, Concord, NC 28025. The listed phone number is (704) 403-2760.

What is The Charlotte-Mecklenburg Hospital Authority's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is The Charlotte-Mecklenburg Hospital Authority enrolled in Medicare?

Yes. The Charlotte-Mecklenburg Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Charlotte-Mecklenburg Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,529 clinicians in 51 Medicare specialties reassign their Medicare billing to The Charlotte-Mecklenburg Hospital Authority. 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 (322), Certified Registered Nurse Anesthetist (CRNA) (150) and General Surgery (110). Of these, 67 practice at this address and 292 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Charlotte-Mecklenburg Hospital Authority 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 list The Charlotte-Mecklenburg Hospital Authority 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 The Charlotte-Mecklenburg Hospital Authority 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.