Individual provider Active NPI

Erika Lynette Ellison, MD

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1245869692
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2025-01801 Issued in NC
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

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230726001852 DC Practitioner - Pediatric Medicine 4789045584 Reassigns benefits to 1 organization
I20260104000114 NC Practitioner - Pediatric Medicine 4789045584 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2025-01801NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Carolinas Physician Network Inc Pediatrics CurrentSince Jan 26, 2026 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Jul 12, 2023 Accepting new patients
Children'S Hospital CurrentSince Jul 12, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 26, 2026 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.

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

Verify at the official NPI Registry.