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

ATRIUM HEALTH PEDIATRIC VIRTUAL VISIT
NPI 1962042416
Family Medicine in Charlotte, NC

Active since January 13, 2020CLIA Certified · 2 labs
2709 WATER RIDGE PKWY, STE 500, CHARLOTTE, NC 28217(855) 438-0010 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 22 more (25 updates tracked since 2020).

About Atrium Health Pediatric Virtual Visit NPPES

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

ATRIUM HEALTH PEDIATRIC VIRTUAL VISIT (NPI 1962042416) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since January 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Charlotte, and lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1962042416
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROLINAS PHYSICIANS NETWORK INC
Location Address2709 WATER RIDGE PKWY, STE 500Charlotte, NC 28217-4596
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(855) 438-0010
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateJanuary 13, 2020
Last NPPES UpdateMarch 9, 202325 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2020
✔ NPI 1962042416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X
2709 WATER RIDGE PKWY, Charlotte, NC 28217
Open in Google Maps ↗

Other Names 2

Doing Business AsAtrium Health Pediatric Virtual Visit
Doing Business AsAtrium Health Levine Children's School Based Virtual Care

Secondary Practice Location 1

Location 12709 Water Ridge Pkwy, Ste 500Charlotte, NC 28217-4596 · Phone (855) 438-0010

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

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 34D2232327

Cpn Inc Dba Atrium Health Virtual Care · Charlotte, NC
Active · expires Aug 11, 2027
CLIA Number34D2232327
Laboratory TypeVirtual Care
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorJocelyn Wilson
Laboratory Phone(855) 438-0010
Laboratory LocationCpn Inc Dba Atrium Health Virtual Care10620 Park Road, Suite 202- 04, Charlotte, NC 28210
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2267191

Cpn Inc Dba Atrium Health Virtual Care -University · Charlotte, NC
Active · expires Aug 21, 2026
CLIA Number34D2267191
Laboratory TypeVirtual Care
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorJocelyn D. Wilson
Laboratory Phone(855) 438-0010
Laboratory LocationCpn Inc Dba Atrium Health Virtual Care -University101 W T Harris Blvd Ste 1121-Sbvc, Charlotte, NC 28203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CAROLINAS PHYSICIANS NETWORK, INC
Family Medicine
2709 WATER RIDGE PKWY, B5,S500
CHARLOTTE, NC 28217
Mecklenburg County (704) 446-9173
SAEBO, INC
Prosthetic/Orthotic Supplier
2709 WATER RIDGE PKWY, STE 100
CHARLOTTE, NC 28217
Mecklenburg County (704) 831-5050
NATALIE PUTNAM
Nurse Practitioner (Family)
2709 WATER RIDGE PKWY
CHARLOTTE, NC 28217
Mecklenburg County (704) 446-9173
HEATHER LYNN WALESKI FNP
Nurse Practitioner (Family)
2709 WATER RIDGE PKWY, STE 500
CHARLOTTE, NC 28217
Mecklenburg County (855) 438-0010
CARLA FAVARO WALKLEY NP
Nurse Practitioner
2709 WATER RIDGE PKWY, STE 500
CHARLOTTE, NC 28217
Mecklenburg County (855) 438-0010

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 Physicians Network Inc's NPI number?

The NPI number for Carolinas Physicians Network Inc is 1962042416. It was assigned to this organization in the NPPES registry on January 13, 2020.

Where is Carolinas Physicians Network Inc located?

Carolinas Physicians Network Inc is located at 2709 Water Ridge Pkwy Ste 500, Charlotte, NC 28217. The listed phone number is (855) 438-0010.

What is Carolinas Physicians Network Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Carolinas Physicians Network Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Carolinas Physicians Network Inc was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.