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ADAM ELLIS
NPI 1609530609
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since October 26, 2021
9805 MITCHELL GLEN DR, CHARLOTTE, NC 28277(704) 776-8937 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM ELLIS (NPI 1609530609) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1609530609
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM ELLIS
Location Address9805 MITCHELL GLEN DRCharlotte, NC 28277-6605
Mailing Address9805 Mitchell Glen DrCharlotte, NC 28277-6605
Phone(704) 776-8937
Sole ProprietorYes
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1609530609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9805 MITCHELL GLEN DR, Charlotte, NC 28277
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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 Adam Ellis's NPI number?

The NPI number for Adam Ellis is 1609530609. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Adam Ellis located?

Adam Ellis practices at 9805 Mitchell Glen Dr, Charlotte, NC 28277. The listed phone number is (704) 776-8937.

What is Adam Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Adam Ellis was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.