Active NPI
Catherine Leigh Ellison, PA
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06389
- Practice address
- 1225 Harding PL
Ste 5100
Charlotte, NC 28204-2826 - Phone
- (704) 355-8850
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-06389 | NC | Primary |
Addresses
Primary practice location
1225 Harding PL
Ste 5100
Charlotte, NC 28204-2826
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
16455 Statesville Rd
Ste 200
Huntersville, NC 28078-7135
Phone (704) 801-3011
Other practice location 2
10650 Park Rd
Ste 480
Charlotte, NC 28210-8538
Phone (704) 667-0520
Other practice location 3
101 E W T Harris Blvd
Ste 5401
Charlotte, NC 28262-3485
Phone (704) 863-1400
Other practice location 4
1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204-2963
Phone (704) 355-4593
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cellison136627@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
101 E Wt Harris Blvd
Ste 5401
Charlotte, NC 28262
Phone (704) 863-1400
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
1225 Harding Pl
Ste 5100
Charlotte, NC 28204
Phone (704) 355-8850
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204
Phone (704) 355-1813
10650 Park Rd
Ste 480
Charlotte, NC 28210
Phone (704) 355-1813
16455 Statesville Rd
Ste 200
Huntersville, NC 28078
Phone (704) 302-8600
1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700
Interoperability endpoints
- cellison136627@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1437038544
-
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- NPI 1497256143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1174916068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 HARDING PL",
"address_2": "STE 5100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042826",
"telephone_number": "704-355-8850"
}
],
"practiceLocations": [
{
"address_1": "16455 Statesville Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787135",
"country_code": "US",
"telephone_number": "704-801-3011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10650 Park Rd",
"address_2": "Ste 480",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-667-0520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E W T Harris Blvd",
"address_2": "Ste 5401",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-863-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-355-4593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLISON",
"first_name": "CATHERINE",
"middle_name": "LEIGH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06389",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cellison136627@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1225 Harding Pl",
"address_2": "Ste 5100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042826",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.