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Mecklenburg Medical Group

NPI 1386960342ActiveOrganization· Dermatology· Matthews, NC

Dermatology in Matthews, North Carolina, registered in NPPES in April 2010, part of Mecklenburg Medical Group. The authorized official on file is Scott Rissmiller, Enterprise Evp.

Overview

NPI1386960342
StatusActive
Entity typeOrganization (subpart)
Parent organizationMecklenburg Medical Group
NPI issuedApr 15, 2010
Last updated in NPPESMar 9, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——
Internal Medicine207R00000X——
Internal Medicine, Bariatric Medicine207RB0002X——
Internal Medicine, Cardiovascular Disease207RC0000X——
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X——
Internal Medicine, Gastroenterology207RG0100X——
Internal Medicine, Geriatric Medicine207RG0300X——
Internal Medicine, Hematology & Oncology207RH0003X——
Internal Medicine, Infectious Disease207RI0200X——
Internal Medicine, Pulmonary Disease207RP1001X——
Internal Medicine, Rheumatology207RR0500X——
Internal Medicine, Sleep Medicine207RS0012X——
Internal Medicine, Medical Oncology207RX0202X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dermatology providers in Matthews

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