CHARLOTTE PEDIATRIC CLINIC
NPI 1194052761
Pediatrics in Charlotte, NC

NPI Status: Active since November 03, 2009

Contact Information

4501 CAMERON VALLEY PKWY
STE 100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 367-7400

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  • Organization
  • Pediatrics
  • Accepts Insurance

About CHARLOTTE PEDIATRIC CLINIC

This page provides the complete NPI Profile along with additional information for Charlotte Pediatric Clinic, a pediatrician established in Charlotte, North Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1194052761 assigned on November 2009. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Charlotte Pediatric Clinic. The authorized official of this NPI record is Scott Rissmiller (Enterprise Evp)

NPI
1194052761
Provider Legal Name
CHARLOTTE PEDIATRIC CLINIC
Other Organization Name
CHARLOTTE PEDIATRIC CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4501 CAMERON VALLEY PKWY STE 100 CHARLOTTE, NC 28211
Location Phone
(704) 367-7400
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Mailing Phone
(704) 631-0002
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-03-2009
Last Update Date
03-09-2023
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A pediatrician like Charlotte Pediatric Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT RISSMILLER

Authorized Official Title
ENTERPRISE EVP
Authorized Official Phone
(704) 355-8675

Reviews for CHARLOTTE PEDIATRIC CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194052761, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 0 + 5 + 4 + 7 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1194052761.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4501 CAMERON VALLEY PKWY, SUITE 300
CHARLOTTE, NC 28211
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4501 CAMERON VALLEY PKWY, SUITE 301-A
CHARLOTTE, NC 28211
Physical Therapist (Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 300
CHARLOTTE, NC 28211
Pediatrics (Developmental - Behavioral Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 301-B
CHARLOTTE, NC 28211
Lactation Consultant, Non-RN
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Pharmacy (Community/Retail Pharmacy)
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Pediatrics (Neurodevelopmental Disabilities)
4501 CAMERON VALLEY PKWY, SUITE 300
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Pediatrics (Pediatric Endocrinology)
4501 CAMERON VALLEY PKWY, SUITE 200
CHARLOTTE, NC 28211
Lactation Consultant, Non-RN
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Pediatrics (Pediatric Endocrinology)
4501 CAMERON VALLEY PKWY, STE 200
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, STE 200-B
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Nurse Practitioner (Family)
4501 CAMERON VALLEY PKWY, STE 300
CHARLOTTE, NC 28211
Pediatrics (Pediatric Endocrinology)
4501 CAMERON VALLEY PKWY, STE 200
CHARLOTTE, NC 28211
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194052761, enumerated as an "organization" on November 03, 2009.

The provider is located at 4501 CAMERON VALLEY PKWY STE 100 CHARLOTTE, NC 28211 and the phone number is (704) 367-7400.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.