Mecklenburg Medical Group
NPI 1396061347 · Dermatology Physician · Indian Land, SC
Mecklenburg Medical Group is a Dermatology Physician organization in Indian Land, SC (NPI 1396061347).
Provider details
- NPI number
- 1396061347
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mecklenburg Medical Group
- Organization subpart
- Yes
- Authorized official
- Scott Rissmiller, Enterprise Evp(704) 355-8675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Atrium Health Primary Care Carolina Lakes Internal Medicine
- Doing business as
- Mecklenburg Medical Group (mmg)
Registry dates
- Enumerated
- 2010-04-15
- Last updated
- 2023-03-09
Frequently asked questions
- What is Mecklenburg Medical Group's NPI number?
- Mecklenburg Medical Group's National Provider Identifier (NPI) is 1396061347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mecklenburg Medical Group?
- Mecklenburg Medical Group is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mecklenburg Medical Group located?
- Mecklenburg Medical Group's practice location on file with NPPES is 7666 Charlotte Hwy, Indian Land, SC 29707-7000.
- What is Mecklenburg Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Mecklenburg Medical Group is (803) 431-8225.
- Who is the authorized official for Mecklenburg Medical Group?
- The authorized official listed on Mecklenburg Medical Group'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 Mecklenburg Medical Group's NPI active?
- Yes — Mecklenburg Medical Group's NPI (1396061347) 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.