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DR. ELLIOTT JOHN SALLY DO
NPI 1538432018
Pediatrics in Goldsboro, NC

Active since February 15, 2012PECOS Enrolled
1050 JABARA AVE, SJAFB, PEDIATRIC CLINIC, GOLDSBORO, NC 27531(919) 722-1536 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2020, Oct 26, 2016 (2 updates tracked since 2016).

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

NPI1538432018
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ELLIOTT JOHN SALLYCredential: DO
Location Address1050 JABARA AVE, SJAFB, PEDIATRIC CLINICGoldsboro, NC 27531-2310
Mailing Address5213 S Alston AveDurham, NC 27713-4430
Phone(919) 722-1536
Sole ProprietorYes
Enumeration DateFebruary 15, 2012
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1538432018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2020-02658✔ Licensed in VA · 0102204044
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1050 JABARA AVE, Goldsboro, NC 27531
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elliott John Sally Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILBUR W ALBERTSON
Psychologist (Clinical)
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-0928
DAVID VINCENT PETER ESPITIA
Military Health Care Provider (Independent Duty Medical Technicians)
1050 JABARA AVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1904
LYNDON JOHNSON RN
Registered Nurse (Ambulatory Care)
1050 JABARA AVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1802
MR. GARY L POLAND
Optometrist
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-0928
DR. TOD S RUSSELL M.D.
Pediatrics (Pediatric Infectious Diseases)
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-0928
DR. TIMOTHY J DERUYTER DDS
Dentist (General Practice)
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-1933
MR. WILSON ANDREW HARRIS III MS, RDN, CSSD, LDN
Dietitian, Registered
1050 JABARA AVE
SEYMOUR JOHNSON A F B, NC 27531
Wayne County (919) 722-0407
ELIZABETH GMINSKI DNP, NP-C
Nurse Practitioner (Family)
1050 JABARA AVE
SEYMOUR JOHNSON A F B, NC 27531
Wayne County (919) 722-1802

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.

What insurance does Elliott Sally accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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 5 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.