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

Ethen Jay Ellington

Individual provider Emergency Medicine Physician · NPI 1962934117

Ethen Jay Ellington is an 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
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Practice location Address checks out

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

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