ETHEN JAY ELLINGTON
NPI 1962934117
Emergency Medicine in Charlotte, NC
About Ethen Jay Ellington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHEN JAY ELLINGTON (NPI 1962934117) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (227199) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of University Of Kentucky College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethen Jay Ellington is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Ethen Ellington reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28203
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
- 99 clinicians in this Medicare group
Matthews, NC 28104
- Reassigned Medicare billing, North Carolina enrollment
- 77 clinicians in this Medicare group
Kings Mountain, NC 28086
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Carolinas Emergency Physicians PA
- 37 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Cleveland
Acute Care Hospitals · Shelby, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Ethen Ellington's NPI number?
The NPI number for Ethen Ellington is 1962934117. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Ethen Ellington located?
Ethen Ellington practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-3181.
What is Ethen Ellington's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ethen Ellington enrolled in Medicare?
Yes. Ethen Ellington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ethen Ellington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethen Ellington reassigns Medicare benefits to 6 organizations: Carolinas Medical Center (Charlotte, NC), Ballantyne Emergency Physicians PLLC (Charlotte, NC), Stallings Emergency Physicians, PLLC (Matthews, NC), Carolinas Emergency Physicians, P.A. (Kings Mountain, NC), Wake Forest Emergency Providers (Statesville, NC) and 1 more organization, listed in the Medicare section above. Each 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 Ethen Ellington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ethen Ellington affiliated with any hospitals?
According to CMS data, Ethen Ellington is affiliated with Atrium Health Cleveland.
When was this NPI record last updated?
The NPPES record for Ethen Ellington was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Ethen Jay Ellington · NPI 1962934117
Emergency Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1962934117 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 227199 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 BLYTHE BLVD, Charlotte, NC 28203-5812
- **Phone:** (704) 355-3181
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Carolinas Medical Center (NPI 1295789907, Charlotte, NC); Ballantyne Emergency Physicians PLLC (NPI 1437939691, Charlotte, NC); Stallings Emergency Physicians, PLLC (NPI 1235728031, Matthews, NC); Carolinas Emergency Physicians, P.A. (NPI 1285952671, Kings Mountain, NC); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962934117) · Data from the CMS NPPES public registry.