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

Dr. Charles Robert Ellis, MD

Individual provider Family Medicine Physician · NPI 1629024211

Dr. Charles Robert Ellis, MD is a Family Medicine Physician in Charleston, South Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
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

109 Bee St
Charleston, SC 29401-5703
Phone: (843) 577-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27678 (NC)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 27678 (NC)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 27678 (NC)

Record details

NPI number1629024211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 11, 2016

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