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

Clarence O'Neil Ellis, MD

Individual provider Internal Medicine Physician · NPI 1376505305

Clarence O'Neil Ellis, MD is an Internal Medicine in Charlotte, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1980, 46 years ago. Practices with Amity Medical Group Inc, a 7-clinician group. Licensed in North Carolina.

Years since qualifying
46
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone: (704) 355-9047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27910 (NC)

Record details

NPI number1376505305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESFebruary 17, 2012

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Amity Medical Group Inc — 7 clinicians
Accepts Medicare assignment Not indicated

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