Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ethen Jay Ellington

Individual provider Emergency Medicine Physician · NPI 1962934117

Ethen Jay Ellington practises Emergency Medicine in Charlotte, North Carolina. Graduated from University of Kentucky College of Medicine in 2017, 9 years ago. Practices with Carolinas Emergency Physicians PA, a 29-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Trained at
University of Kentucky College of Medicine
Licensed in
NC
In the registry since
2017

Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-3181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 227199 (NC)

Record details

NPI number1962934117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Carolinas Emergency Physicians Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients344
Services billed 542 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Carolinas Emergency Physicians PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 29 clinicians in the practice; 12 are shown here.

Other providers in Charlotte