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

Cody W. Ellis, RD

Individual provider Registered Dietitian · NPI 1205621901

Cody W. Ellis, RD is a Registered Dietitian in Huntersville, North Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

16039 Lavenham Rd
Huntersville, NC 28078-5660
Phone: (803) 517-6319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86299004 (SC)

Record details

NPI number1205621901
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedApril 12, 2025
Last updated in NPPESApril 12, 2025
Certification dateApril 12, 2025

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