METROLINA INTERNAL MEDICINE PA
NPI 1326000845
Internal Medicine in Charlotte, NC
About Metrolina Internal Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METROLINA INTERNAL MEDICINE PA (NPI 1326000845) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since April 2006. The organization lists Clarence O'neil Ellis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metrolina Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Metrolina Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Metrolina Internal Medicine PA's NPI number?
The NPI number for Metrolina Internal Medicine PA is 1326000845. It was assigned to this organization in the NPPES registry on April 3, 2006.
Where is Metrolina Internal Medicine PA located?
Metrolina Internal Medicine PA is located at 2300 Randolph Rd Ste A, Charlotte, NC 28207. The listed phone number is (704) 372-9393.
What is Metrolina Internal Medicine PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Metrolina Internal Medicine PA enrolled in Medicare?
Yes. Metrolina Internal Medicine PA is registered in the Medicare PECOS enrollment system.
When is Metrolina Internal Medicine PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Metrolina Internal Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Metrolina Internal Medicine PA, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Metrolina Internal Medicine PA accept?
Health plans from Blue Cross and Blue Shield of NC list Metrolina Internal Medicine PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Metrolina Internal Medicine PA was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Metrolina Internal Medicine Pa · NPI 1326000845
Internal Medicine organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1326000845 (Entity type: Organization)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Clarence Ellis, PRESIDENT
## Practice location
- **Address:** 2300 RANDOLPH RD STE A, Charlotte, NC 28207-1586
- **Phone:** (704) 372-9393 · **Fax:** (704) 372-0135
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2018
- **Other identifiers:** Medicaid 790278J (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1326000845) · Data from the CMS NPPES public registry.