# CAROLINAS MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER
- **Other names:** Atrium Health Levine Children's Gastroenterology, CMC Faculty Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275774333
- **Legal business name:** CAROLINAS MEDICAL CENTER
- **Authorized official:** SCOTT RISSMILLER (PRESIDENT)
- **Authorized official phone:** (704) 631-0002

## Contact information

- **Practice address:** 1350 S KINGS DR, CHARLOTTE, NC 28207-2134
- **Practice address phone:** (704) 446-1544
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | NULL | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | — | — |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 09/18/2026