1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Pediatrics
  6. NPI Profile

CHARLOTTE PEDIATRIC CLINIC
NPI 1194052761
Pediatrics in Charlotte, NC

Active since November 03, 2009
4501 CAMERON VALLEY PKWY, STE 100, CHARLOTTE, NC 28211(704) 367-7400 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 19, 2023 and 40 more (43 updates tracked since 2016).

About Charlotte Pediatric Clinic NPPES

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

CHARLOTTE PEDIATRIC CLINIC (NPI 1194052761) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since November 2009. The organization lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1194052761
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHARLOTTE PEDIATRIC CLINIC
Location Address4501 CAMERON VALLEY PKWY, STE 100Charlotte, NC 28211-4297
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(704) 367-7400
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateNovember 3, 2009
Last NPPES UpdateMarch 9, 202343 updates tracked since enumeration
✔ NPI 1194052761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4501 CAMERON VALLEY PKWY, Charlotte, NC 28211
Open in Google Maps ↗

Other Names 2

Doing Business AsCharlotte Pediatric Clinic
Doing Business AsAtrium Health Levine Children's Charlotte Pediatrics

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.Insurance ›

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.

DAVID JERRET PUBANTZ MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 200-B
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-0500
HENRY SMITH
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
STEPHANIE PETTUS KWON MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
MEDCARERX INC
Pharmacy (Community/Retail Pharmacy)
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7440
CAROLINAS MEDICAL CENTER-NORTHEAST
Pediatrics (Developmental - Behavioral Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 301-B
CHARLOTTE, NC 28211
Mecklenburg County (704) 403-2626
ANNA TAYLOR SCHMELZER MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
STEFANIE ANN KIENKER FNP
Nurse Practitioner (Family)
4501 CAMERON VALLEY PKWY, STE 300
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-6255
JAKUB MIESZCZAK MD
Pediatrics (Pediatric Endocrinology)
4501 CAMERON VALLEY PKWY, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-3636

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 Charlotte Pediatric Clinic's NPI number?

The NPI number for Charlotte Pediatric Clinic is 1194052761. It was assigned to this organization in the NPPES registry on November 3, 2009. The provider is doing business as Atrium Health Levine Children's Charlotte Pediatrics.

Where is Charlotte Pediatric Clinic located?

Charlotte Pediatric Clinic is located at 4501 Cameron Valley Pkwy Ste 100, Charlotte, NC 28211. The listed phone number is (704) 367-7400.

What is Charlotte Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Charlotte Pediatric Clinic accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Charlotte Pediatric Clinic 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 Charlotte Pediatric Clinic was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.