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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC
NPI 1962218057
Pediatrics - Pediatric Endocrinology in Hickory, NC

Active since December 04, 2024CLIA Certified · 2 labs
1781 TATE BLVD SE, HICKORY, NC 28602(704) 512-3636 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, May 5, 2026, May 7, 2025 and 1 more (4 updates tracked since 2024).

About Atrium Health Childrens Specialty Network Inc NPPES

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

ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC (NPI 1962218057), doing business as Atrium Health Levine Children's Pediatric Surgery, is a healthcare organization registered as a pediatric endocrinology in Hickory, North Carolina and active in the NPI registry since December 2024. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Scott Clifton Rissmiller, President, as its authorized official.

NPPES Registry Identity

NPI1962218057
Entity TypeOrganization
Primary Taxonomy2080P0205X
Legal Business NameATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC
Location Address1781 TATE BLVD SEHickory, NC 28602-4251
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(704) 512-3636
Organization SubpartYes
Authorized OfficialScott Clifton RissmillerPresident · (704) 631-0002
Enumeration DateDecember 4, 2024
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1962218057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X
1781 TATE BLVD SE, Hickory, NC 28602
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Other Names 2

Doing Business AsAtrium Health Levine Children's Pediatric Surgery
Doing Business AsPediatric Endocrinology & Diabetes Specialists

Secondary Practice Locations 4

Location 11001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 446-3350
Location 24501 Cameron Valley PkwyCharlotte, NC 28211-4297 · Phone (704) 512-3636
Location 36030 W Highway 74Indian Trail, NC 28079-3468 · Phone (704) 512-3636
Location 42550 Court DrGastonia, NC 28054-2152 · Phone (704) 512-3636

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 of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 34D0702317

Atrium Health Children's Specialty Network, Inc · Charlotte, NC
Active · expires Mar 10, 2027
CLIA Number34D0702317
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorDr. Mark Vanderwal
Laboratory Phone(704) 512-5363
Laboratory LocationAtrium Health Children's Specialty Network, Inc4501 Cameron Valley Parkway, Suite 200, Charlotte, NC 28211
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2089092

Atrium Health Children's Specialty Network, Inc · Hickory, NC
Active · expires Dec 17, 2026
CLIA Number34D2089092
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorMark R. Vanderwell
Laboratory Phone(704) 381-3950
Laboratory LocationAtrium Health Children's Specialty Network, Inc1781 Tate Boulevard, SE, Suite 203, Hickory, NC 28602
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

CMC-NORTHEAST, INC.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1781 TATE BLVD SE, CAROLINAS PEDIATRIC NEUROLOGY CARE - HICKORY
HICKORY, NC 28602
Catawba County (704) 446-1900
CAROLINAS MEDICAL CENTER
Pediatrics
1781 TATE BLVD SE
HICKORY, NC 28602
Catawba County (704) 381-3950
S. ROSS PENLAND DMD PA
Dentist (Pediatric Dentistry)
1781 TATE BLVD SE
HICKORY, NC 28602
Catawba County (828) 855-3779
DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Obstetrics & Gynecology
1781 TATE BLVD SE, STE 201
HICKORY, NC 28602
Catawba County (615) 920-7000
FRYECARE WOMEN'S SERVICES, LLC
Obstetrics & Gynecology
1781 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 328-2901
CAROLINAS PHYSICIANS NETWORK, INC.
Urology (Pediatric Urology)
1781 TATE BLVD SE
HICKORY, NC 28602
Catawba County (704) 381-3510
DR. CRAIG A. GREENE MD
Pediatrics (Pediatric Cardiology)
1781 TATE BLVD SE, SUITE 203
HICKORY, NC 28602
Catawba County (704) 373-0212
DR. JESSICA WIEDEY TOMBERLIN D.M.D.
Dentist (General Practice)
1781 TATE BLVD SE, SUITE 204
HICKORY, NC 28602
Catawba County (828) 855-3779

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 Atrium Health Childrens Specialty Network Inc's NPI number?

The NPI number for Atrium Health Childrens Specialty Network Inc is 1962218057. It was assigned to this organization in the NPPES registry on December 4, 2024. The provider is doing business as Atrium Health Levine Children's Pediatric Surgery and Pediatric Endocrinology & Diabetes Specialists.

Where is Atrium Health Childrens Specialty Network Inc located?

Atrium Health Childrens Specialty Network Inc is located at 1781 Tate Blvd SE, Hickory, NC 28602. The listed phone number is (704) 512-3636.

What is Atrium Health Childrens Specialty Network Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Does Atrium Health Childrens Specialty 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.

What insurance does Atrium Health Childrens Specialty Network Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list Atrium Health Childrens Specialty Network Inc 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 Atrium Health Childrens Specialty Network Inc was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.