Active NPI
Erika Lynette Ellison, MD
- Pediatrics Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2025-01801
- Practice address
- 4501 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-4298 - Phone
- (704) 367-7400
- NPI assigned
- Apr 7, 2020
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2025-01801 | NC | Primary |
Addresses
Primary practice location
4501 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-4298
Mailing address
4501 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-4298
Phone (704) 367-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4435 Golf Acres Dr
Charlotte, NC 28208-5947
PO Box
Suite 19305
Charlotte, NC 28219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01801 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Current | Accepting new patients | |
| Carolinas Physician Network Inc | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
4501 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 365-0760
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
4501 Cameron Valley Pkwy
Ste 100
Charlotte, NC 28211
Phone (704) 367-7400
Organizations & group practices 6
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Pediatrics Physician
- Albemarle, NC
- NPI 1902200991
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1245869692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 CAMERON VALLEY PKWY STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114298",
"telephone_number": "704-367-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 CAMERON VALLEY PKWY STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114298",
"telephone_number": "704-367-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "ERIKA",
"middle_name": "LYNETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2025-01801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 9, 2025; 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.