Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since December 04, 2024CLIA 34D2089092 · Waiver
1781 TATE BLVD SE, HICKORY, NC 28602(704) 512-3636 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Aug 11, 2026, Jul 13, 2026 and 3 more (6 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 Specialty Center Pediatric Pulmonology, 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 a CLIA Waiver certificate valid through December 17, 2026, maintains 7 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
Organization SubpartYes
Authorized OfficialScott Clifton RissmillerPresident · (704) 631-0002
Enumeration DateDecember 4, 2024
Last NPPES UpdateOctober 14, 20266 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1962218057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X
1781 TATE BLVD SE, Hickory, NC 28602

Other Names 4

Doing Business AsAtrium Health Levine Children Specialty Center Pediatric Pulmonology
Doing Business AsAtrium Health Levine Children's Pediatric Nephrology
Doing Business AsAtrium Health Levine Children's Pediatric Surgery
Doing Business AsPediatric Endocrinology & Diabetes Specialists

Secondary Practice Locations 7

Location 16030 W Highway 74Indian Trail, NC 28079-3468 · Phone (704) 512-3636
Location 22550 Court DrGastonia, NC 28054-2152 · Phone (704) 512-3636
Location 3704 Gold Hill RdFort Mill, SC 29715-8906 · Phone (704) 381-8170
Location 41001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 446-3350
Location 54501 Cameron Valley PkwyCharlotte, NC 28211-4297 · Phone (704) 512-3636
Location 6100 Medical Park DrConcord, NC 28025-2948 · Phone (704) 381-8800
Location 79625 Northcross Center CtHuntersville, NC 28078-7348 · Phone (704) 381-8800

Accepted 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)

Atrium Health Childrens Specialty Network Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Atrium Health Childrens Specialty Network Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

General Surgery17
Nurse Practitioner6
Pediatric Medicine6
Endocrinology2
General Practice2
Registered Dietitian or Nutrition Professional2

Nearest to this location (20)

See all 35
General Surgery
NPI 1871852095
2209 S STERLING ST STE 600
Morganton, NC 28655
(828) 580-2250
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1144754755
325 HAWTHORNE LN
Charlotte, NC 28204
(704) 316-7760
✔ PECOS45 mi
General Surgery
NPI 1750525952
1025 MOREHEAD MEDICAL DR STE 300
Charlotte, NC 28204
(704) 355-1813
✔ PECOS✔ Accepts Medicare45 mi
General Surgery
NPI 1710008875
1025 MOREHEAD MEDICAL DR STE 300
Charlotte, NC 28204
(704) 355-1813
✔ PECOS✔ Accepts Medicare45 mi
Registered Dietitian or Nutrition Professional
NPI 1851275002
1001 BLYTHE BLVD STE 200
Charlotte, NC 28203
(704) 381-8840
✔ Accepts Medicare45 mi
General Surgery
NPI 1891053492
1001 BLYTHE BLVD
Charlotte, NC 28203
(704) 446-3350
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1437940384
1001 BLYTHE BLVD STE 4115A
Charlotte, NC 28203
(704) 446-9950
✔ PECOS45 mi
General Surgery
NPI 1154371151
1001 BLYTHE BLVD
Charlotte, NC 28203
(704) 403-2662
✔ PECOS45 mi
Pediatric Medicine
NPI 1891061768
1000 BLYTHE BLVD
Charlotte, NC 28203
(704) 381-2000
✔ PECOS✔ Accepts Medicare45 mi
General Surgery
NPI 1538431994
1000 BLYTHE BLVD
Charlotte, NC 28203
(704) 355-2000
✔ PECOS✔ Accepts Medicare45 mi
Pediatric Medicine
NPI 1922182492
1900 RANDOLPH ROAD STE 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1225525538
1900 RANDOLPH RD STE 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS45 mi
Pediatric Medicine
NPI 1346376423
1900 RANDOLPH RD. STE. 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1023638665
1900 RANDOLPH ROAD. SUITE 210
Charlotte, NC 28207
(704) 370-0223
✔ PECOS✔ Accepts Medicare45 mi
General Practice
NPI 1215234687
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts Medicare45 mi
General Practice
NPI 1275763567
1350 S KINGS DR
Charlotte, NC 28207
(704) 446-1255
✔ PECOS✔ Accepts Medicare45 mi
Registered Dietitian or Nutrition Professional
NPI 1518328574
6060 PIEDMONT ROW DR S FL 6
Charlotte, NC 28287
(704) 489-3094
48 mi
Endocrinology
NPI 1851669980
4501 CAMERON VALLEY PKWY STE 200
Charlotte, NC 28211
(704) 512-3636
✔ PECOS✔ Accepts Medicare49 mi
Pediatric Medicine
NPI 1073958724
4501 CAMERON VALLEY PKWY STE 200
Charlotte, NC 28211
(704) 512-3636
✔ PECOS✔ Accepts Medicare49 mi
Endocrinology
NPI 1346521531
4501 CAMERON VALLEY PKWY STE 200
Charlotte, NC 28211
(704) 512-3636
✔ PECOS✔ Accepts Medicare49 mi
See all 35 clinicians

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

CLIA Laboratory Certificates CMS CLIA

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 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.

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 Specialty Center Pediatric Pulmonology, Atrium Health Levine Children's Pediatric Nephrology, 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.

Is Atrium Health Childrens Specialty Network Inc enrolled in Medicare?

Yes. Atrium Health Childrens Specialty Network Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atrium Health Childrens Specialty Network Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 6 Medicare specialties reassign their Medicare billing to Atrium Health Childrens Specialty Network Inc. 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 General Surgery (17), Nurse Practitioner (6) and Pediatric Medicine (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atrium Health Childrens Specialty Network Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2089092) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atrium Health Childrens Specialty Network Inc accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health 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 October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.