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

Chad Ellis

Individual provider Medical Physician Assistant · NPI 1154889996

Chad Ellis is a Physician Assistant in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Amity Medical Group Inc, a 7-clinician group and works from 2 locations. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

6010 E W T Harris Blvd
Charlotte, NC 28215-4084
Phone: (704) 208-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9835 Monroe Rd Ste B, Charlotte, NC 28270-1471 — (704) 208-4134

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-08882 (NC)

Record details

NPI number1154889996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Amity Medical Group Inc — 7 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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