Individual provider

Ethen Ellington

Emergency Medicine Physician Medicare enrolled

Ethen Ellington is an Emergency Medicine Physician in Charlotte, NC, registered under NPI 1962934117. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1000 BLYTHE BLVD, Charlotte, NC 28203. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1000 BLYTHE BLVD, Charlotte, NC 28203 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
227199 NC Emergency Medicine Physician primary

This provider holds licence 227199 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
2163708025

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
North Carolina I20200818002063 Practitioner - Emergency Medicine
Georgia I20240723000096 Practitioner - Emergency Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. There are 2 separate enrolment records across 2 states (NC, GA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Emergency Medicine covers

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
Allopathic & Osteopathic Physicians Emergency Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1962934117 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 28, 2017
Last updatedMar 25, 2025
StatusActive
Sole proprietorYes
Practice address 1000 BLYTHE BLVD
Charlotte, NC 28203
(704) 355-3181
This record was updated on Mar 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1962934117 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 6 2 9 3 4 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 3 2 9 3 8 1 2

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1962934117?
NPI 1962934117 is the National Provider Identifier assigned to Ethen Ellington in Charlotte, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medicine Physician cover?
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care…
How do I contact Ethen Ellington?
The phone number on file with NPPES is (704) 355-3181, last updated Mar 25, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ethen Ellington accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1962934117 a valid number?
Yes. 1962934117 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.