| Atrium Health Specialty Network Inc | |
|
10650 Park Rd Charlotte NC 28210-8538 | |
| (704) 667-0340 | |
| Not Available |
| Full Name | Atrium Health Specialty Network Inc |
|---|---|
| Speciality | Dermatology |
| Location | 10650 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Clifton Rissmiller (PRESIDENT) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Specialty Network Inc Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health Specialty Network Inc 10650 Park Rd Charlotte NC 28210-8538 Ph: (704) 667-0340 |
| NPI Number | 1538975636 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 09/24/2025 |
| Medicare PECOS PAC ID | 5193245801 |
|---|---|
| Medicare Enrollment ID | O20250225003169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538975636 | NPI | - | NPPES |
| Provider Name | Daniel J Parsons |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851401574 PECOS PAC ID: 5092756411 Enrollment ID: I20050517000055 |
| Provider Name | Puneet Kumar Aggarwal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437243680 PECOS PAC ID: 4385645878 Enrollment ID: I20070125000598 |
| Provider Name | Ratko Vujicic |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1326039223 PECOS PAC ID: 6901702299 Enrollment ID: I20070316000176 |
| Provider Name | Tara Byers Parsons |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881810240 PECOS PAC ID: 6002908936 Enrollment ID: I20070823000661 |
| Provider Name | Nilima P Thakkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063496099 PECOS PAC ID: 4880658566 Enrollment ID: I20081031000328 |
| Provider Name | Ali Jason Ravanbakht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902927858 PECOS PAC ID: 2466524145 Enrollment ID: I20090105000242 |
| Provider Name | Jason C Rowling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639259690 PECOS PAC ID: 2062414071 Enrollment ID: I20090112000699 |
| Provider Name | James Everett Hancock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386702066 PECOS PAC ID: 3577692565 Enrollment ID: I20100601000561 |
| Provider Name | Raashid M Haque |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992731418 PECOS PAC ID: 8325028103 Enrollment ID: I20141111000951 |
| Provider Name | Kirk Anderson James |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235438870 PECOS PAC ID: 2163647223 Enrollment ID: I20150910000271 |
| Provider Name | Caleb Ramsey Dunn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942681382 PECOS PAC ID: 3375850159 Enrollment ID: I20190826003967 |
| Provider Name | Sarah Nichols Dunn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598146870 PECOS PAC ID: 3678880465 Enrollment ID: I20191030000120 |
| Provider Name | Katherine Anne Kenneweg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861843740 PECOS PAC ID: 2567756406 Enrollment ID: I20200622002107 |
| Provider Name | Nikesh Anilkumar Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598151581 PECOS PAC ID: 5193031359 Enrollment ID: I20201008000989 |
| Provider Name | Danielle Marie Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386420610 PECOS PAC ID: 2567811292 Enrollment ID: I20231206004247 |
| Provider Name | Cailyn Margaret Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790561348 PECOS PAC ID: 8729437934 Enrollment ID: I20231213003351 |
| Provider Name | Robert Anthony Schnietz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740710631 PECOS PAC ID: 4284903071 Enrollment ID: I20240103004731 |
| Provider Name | Meaghan Francis Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427711191 PECOS PAC ID: 6608267596 Enrollment ID: I20241108002091 |
| Provider Name | Mason Waldron Runge |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952926685 PECOS PAC ID: 3274950407 Enrollment ID: I20241111003738 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |