OrganizationActive
Charlotte Pediatric Clinic
NPI 1194052761 · Pediatrics Physician · Charlotte, NC
Charlotte Pediatric Clinic is a Pediatrics Physician organization in Charlotte, NC (NPI 1194052761).
Provider details
- NPI number
- 1194052761
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Charlotte Pediatric Clinic
- Organization subpart
- Yes
- Authorized official
- Scott Rissmiller, Enterprise Evp(704) 355-8675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4501 Cameron Valley Pkwy
Ste 100
Charlotte, NC 28211-4297
Phone: (704) 367-7400
Street-level locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Other names (DBA / former)
- Doing business as
- Atrium Health Levine Children'S Charlotte Pediatrics
- Doing business as
- Charlotte Pediatric Clinic
Registry dates
- Enumerated
- 2009-11-03
- Last updated
- 2023-03-09
Frequently asked questions
- What is Charlotte Pediatric Clinic's NPI number?
- Charlotte Pediatric Clinic's National Provider Identifier (NPI) is 1194052761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charlotte Pediatric Clinic?
- Charlotte Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Charlotte Pediatric Clinic located?
- Charlotte Pediatric Clinic's practice location on file with NPPES is 4501 Cameron Valley Pkwy, Charlotte, NC 28211-4297.
- What is Charlotte Pediatric Clinic's phone number?
- The practice phone number listed in the NPPES registry for Charlotte Pediatric Clinic is (704) 367-7400.
- Who is the authorized official for Charlotte Pediatric Clinic?
- The authorized official listed on Charlotte Pediatric Clinic's NPPES record is Scott Rissmiller, Enterprise Evp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charlotte Pediatric Clinic's NPI active?
- Yes — Charlotte Pediatric Clinic's NPI (1194052761) is active in the NPPES registry as of the last update on 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.