Organization · Type 2 NPI

Carolinas Physicians Network Inc

Sports Medicine (Family Medicine) Physician · Charlotte, NC

NPI number 1053668012 Active

Practice location

5735 Prosperity Crossing Dr, Ste 2100
Charlotte, NC 28269-1360

Call (704) 863-4878 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed
Sports Medicine (Internal Medicine) Physician	207RS0010X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

Another provider at this address

Antonio Tom Howard, MDPhysical Medicine & Rehabilitation Physician Charlotte, NC NPI 1013265057

Other sports medicine (family medicine) physician providers in Charlotte

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NPI record

NPI: 1053668012
Entity type: Organization (Type 2)
Issued: Aug 9, 2012
Last updated: Nov 6, 2025
Status: Active
Subpart: Yes of Carolinas Physicians Network Inc

Other names

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Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine · doing business as
Atrium Health Musculoskeletal Institute Sports Medicine · doing business as

Authorized official

Scott Rissmiller
Enterprise EVP
(704) 355-8675

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053668012

Carolinas Physicians Network Inc's National Provider Identifier is 1053668012, issued on Aug 9, 2012. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Charlotte, NC. The record was last updated on Nov 6, 2025.