Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audia L. Ellis, FNP

Individual provider Nurse Practitioner · NPI 1962786640

Audia L. Ellis, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

10210 Couloak Dr Ste E
Charlotte, NC 28216-7679
Phone: (704) 801-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 — (704) 563-2150
  • 7810 Providence Rd, Charlotte, NC 28226-2954 — (704) 543-6636
  • 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2206 — (704) 863-9930
  • 704 Gold Hill Rd, Fort Mill, SC 29715-8906 — (704) 667-3380

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5007645 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5007645 (NC)

Record details

NPI number1962786640
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2011
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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