ATRIUM HEALTH ALLERGY, ASTHMA & IMMUNOLOGY
NPI 1215573423
Allergy & Immunology in Charlotte, NC

NPI Status: Active since November 22, 2019

Contact Information

4525 CAMERON VALLEY PKWY
STE 2100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 355-5100

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  • Organization
  • Allergy & Immunology
  • Accepts Insurance
  • CLIA Number: 34D2261382
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-11-2026

About ATRIUM HEALTH ALLERGY, ASTHMA & IMMUNOLOGY

This page provides the complete NPI Profile along with additional information for Atrium Health Allergy, Asthma & Immunology, a provider established in Charlotte, North Carolina operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1215573423 assigned on November 2019. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Atrium Health Allergy, Asthma & Immunology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Atrium Health Allergy, Asthma & Immunology. The authorized official of this NPI record is Scott Rissmiller (Enterprise Evp)

NPI
1215573423
Provider Legal Name
CAROLINAS PHYSICIANS NETWORK INC
Other Organization Name
ATRIUM HEALTH ALLERGY, ASTHMA & IMMUNOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4525 CAMERON VALLEY PKWY STE 2100 CHARLOTTE, NC 28211
Location Phone
(704) 355-5100
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Mailing Phone
(704) 631-0002
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-22-2019
Last Update Date
03-20-2023
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Location Map

Secondary Locations

  • 1237 Harding Pl Ste 3200
    Charlotte, NC 28204
    (704) 446-3040
  • 10650 Park Rd
    Charlotte, NC 28210
    (704) 667-3960
  • 101 E W T Harris Blvd Ste 3301
    Charlotte, NC 28262
    (704) 863-1420
  • 11530 Providence Rd Ste 1400
    Charlotte, NC 28277
    (704) 667-0650

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT RISSMILLER

Authorized Official Title
ENTERPRISE EVP
Authorized Official Phone
(704) 355-8675

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2261382
Facility Type
Physician Office
Certificate Effective Date
March 12, 2024
Certificate Expiration Date
March 11, 2026
Laboratory Director
STEVEN MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Atrium Health Allergy, Asthma & Immunology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ATRIUM HEALTH ALLERGY, ASTHMA & IMMUNOLOGY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215573423
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225107644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 7 + 6 + 4 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1215573423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568487718DR. ALAN ROBERT THALINGER MD
Individual
Internal Medicine (Medical Oncology)4525 CAMERON VALLEY PKWY SUITE 4100
CHARLOTTE, NC 28211
(704) 302-9300
1154337871 LISA CORN FNP
Individual
Nurse Practitioner (Family)4525 CAMERON VALLEY PKWY STE 1500
CHARLOTTE, NC 28211
(704) 512-6240
1346323326MRS. KIM P MAI RPH
Individual
Pharmacist4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
(704) 512-6040
1194918771 KRISTI LYNN NICOL PA-C
Individual
Physician Assistant (Medical)4525 CAMERON VALLEY PKWY SUITE 1500
CHARLOTTE, NC 28211
(704) 512-6240
1275787202MRS. SHEREE BOLEY RN,CDE
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4525 CAMERON VALLEY PKWY SUITE 4100
CHARLOTTE, NC 28211
(704) 302-8310
1215259817MS. KIM H DERHODES RPH
Individual
Pharmacist4525 CAMERON VALLEY PKWY SUITE 1200
CHARLOTTE, NC 28211
(704) 512-6040
1700171766CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Organization
Pharmacy (Community/Retail Pharmacy)4525 CAMERON VALLEY PKWY SUITE 1200
CHARLOTTE, NC 28211
(704) 512-6040
1851643159 JONATHAN POLSKY L.AC.
Individual
Acupuncturist4525 CAMERON VALLEY PKWY SUITE 2500
CHARLOTTE, NC 28211
(704) 512-6293
1699048199CAROLINAS PHYSICIANS NETWORK INC
Organization
Internal Medicine4525 CAMERON VALLEY PKWY SUITE 2500
CHARLOTTE, NC 28211
(704) 512-3800
1811332679 RENEE DIANA MESSENGER MS, ACSM-RCEP
Individual
Clinical Exercise Physiologist4525 CAMERON VALLEY PKWY STE 2200
CHARLOTTE, NC 28211
(704) 512-2404
1669497699 JOSHUA K SHOEMAKE MD
Individual
Internal Medicine4525 CAMERON VALLEY PKWY SUITE 3100
CHARLOTTE, NC 28211
(704) 302-9300
1407875883 RALPH L GREENE MD
Individual
Internal Medicine4525 CAMERON VALLEY PKWY SUITE 3100
CHARLOTTE, NC 28211
(704) 302-9300
1326174392 NORMAN JOHN KRAMER M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4525 CAMERON VALLEY PKWY SUITE 4100
CHARLOTTE, NC 28211
(704) 302-9300
1720029408 CYNTHIA EATON NP
Individual
Nurse Practitioner4525 CAMERON VALLEY PKWY SUITE 4100
CHARLOTTE, NC 28211
(704) 302-9300
1427499862MRS. JESSICA ROSE ANDERSON PA-C
Individual
Physician Assistant (Medical)4525 CAMERON VALLEY PKWY SUITE 4100
CHARLOTTE, NC 28211
(704) 302-9300
1609895069 DONALD J RUSS MD
Individual
Internal Medicine4525 CAMERON VALLEY PKWY SUITE 3100
CHARLOTTE, NC 28211
(704) 302-9300
1477879260MECKLENBURG MEDICAL GROUP
Organization
Durable Medical Equipment & Medical Supplies4525 CAMERON VALLEY PKWY SUITE 2100
CHARLOTTE, NC 28211
(704) 302-8350
1346566148MECKLENBURG MEDICAL GROUP
Organization
Internal Medicine4525 CAMERON VALLEY PKWY SUITE 3100
CHARLOTTE, NC 28211
(704) 302-9300
1992254213CAROLINAS HEALTHCARE SYSTEM
Organization
Clinic/Center (Medical Specialty)4525 CAMERON VALLEY PKWY SUITE 3100
CHARLOTTE, NC 28211
(704) 302-8310
1720169998 WHITNEY L LANE MD
Individual
Dermatology4525 CAMERON VALLEY PKWY SUITE 2100
CHARLOTTE, NC 28211
(704) 302-8350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215573423, enumerated in the NPI registry as an "organization" on November 22, 2019

The provider is located at 4525 Cameron Valley Pkwy Ste 2100 Charlotte, Nc 28211 and the phone number is (704) 355-5100

This medical organization specializes in Allergy & Immunology with taxonomy code 207K00000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2261382 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 22, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.