DR. ELLIOTT JOHN SALLY DO
NPI 1538432018
Pediatrics in Goldsboro, NC
About Dr. Elliott John Sally Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLIOTT JOHN SALLY DO (NPI 1538432018) is an individual pediatrics provider in Goldsboro, North Carolina, licensed in North Carolina (2020-02658) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Elliott John Sally Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elliott Sally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Zebulon, NC 27597
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Duke University Affiliated Physicians, Inc.
- 636 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDSBORO, NC 27531
GOLDSBORO, NC 27531
SEYMOUR JOHNSON A F B, NC 27531
GOLDSBORO, NC 27531
SEYMOUR JOHNSON A F B, NC 27531
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 Elliott Sally's NPI number?
The NPI number for Elliott Sally is 1538432018. It was assigned to this individual provider in the NPPES registry on February 15, 2012.
Where is Elliott Sally located?
Elliott Sally practices at 1050 Jabara Ave Sjafb, Pediatric Clinic, Goldsboro, NC 27531. The listed phone number is (919) 722-1536.
What is Elliott Sally's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elliott Sally enrolled in Medicare?
Yes. Elliott Sally is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elliott Sally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elliott Sally reassigns Medicare benefits to Duke University Affliated Physicians (Zebulon, NC). The 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 Elliott Sally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elliott Sally accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Elliott Sally 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 Elliott Sally was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Elliott John Sally, DO · NPI 1538432018
Pediatrics physician in Goldsboro, North Carolina. Individual provider, active in the CMS NPPES registry since February 15, 2012.
## Identity
- **NPI:** 1538432018 (Entity type: Individual)
- **Enumerated:** February 15, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2020-02658 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1050 JABARA AVE, SJAFB, PEDIATRIC CLINIC, Goldsboro, NC 27531-2310
- **Phone:** (919) 722-1536
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Duke University Affliated Physicians (NPI 1487992095, Zebulon, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1538432018) · Data from the CMS NPPES public registry.