OrganizationActive
The Charlotte-Mecklenburg Hospital Authority
NPI 1174950752 · Dermatology Physician · Concord, NC
Provider details
- NPI number
- 1174950752
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Charlotte-Mecklenburg Hospital Authority
- Organization subpart
- Yes
- Authorized official
- Scott Rissmiller, Enterprise Evp(704) 355-8675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Medical Park Dr
Ste 460
Concord, NC 28025-2982
Phone: (704) 403-2777
Street-level locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Other names (DBA / former)
- Doing business as
- Atrium Health Dermatology
- Doing business as
- Northeast Dermatology
Additional practice locations (1)
- 1100 Healing WaySte 11-BMatthews, NC 28104-4951Phone: (704) 403-2777
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.