Jonta Elliott

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

346094 Issued in NC

Practice address

301 S Church St Ste 140I
Rocky Mount, NC 27804-5755

Phone

(252) 765-4186

Fax

(252) 370-1575

NPI assigned

May 4, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jon Elliott Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1023955267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 LAKELAND ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014508",
            "telephone_number": "843-439-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST STE 140I",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045755",
            "telephone_number": "252-765-4186",
            "fax_number": "252-370-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JONTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "346094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "ELLIOTT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carolyn Robards Eggers, M.A., C.A.S.
• Nelson Richard Ehly, P.A.
• Eidson Speech and Language Services
• Stacy Corey Eidson, M.S., CCC/SLP
• Elizabeth E Miller DDS Ms PA (Rocky Mount Pediatric Dentistry)
• Willard Jackson Ellis Jr., DDS
• Randa Ibrahim Elsayed, MASTER'S DEGREE
• Hesham F Elwan
• Embracing Change Center, Inc.
• Embracing Touch Home Care Agency

• Student in an Organized Health Care Education/Training Program in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.