Sandra M Ells, MD
Individual provider Active NPI Emergency Medicine Physician · Mayodan, NC
NPI 1285628628 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1285628628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 38758 (NC)
- Practice address
- 6701B NC Highway 135
Mayodan, NC 27027-8487 - Phone
- (336) 635-8616
- Fax
- (336) 635-6868
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Brody School of Medicine at East Carolina University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Carolinas Emergency Group, PLLC
Wake Forest Emergency Providers
Practice addresses (Care Compare)
2301 US Hwy 74 W
Wadesboro, NC 28170-7554
Phone (704) 694-5131
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Hospital & facility affiliations
- Atrium Health Anson
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.67
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080630000638 | NC | Practitioner - Emergency Medicine | 2668496522 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Wake Forest Emergency Providers | Current |
Accepting new patients | |
| Willis Knighton Medical Center, Inc. WK Emergency Dept Group | Emergency Medicine | Past | Accepting new patients |
| TST Medical, P.a. | Past | Accepting new patients | |
| Sterling Emergency Services of the Southeast, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
500 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-5131
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
Interoperability endpoints
- sells500402@carolinashealthcaresystem.direct-ci.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- sells689463@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13352R | LA | |
| Emergency Medicine Physician | 207P00000X | 38758 | NC | Yes |
Addresses
Primary practice location
6701B NC Highway 135
Mayodan, NC 27027-8487
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1567248 | Medicaid | LA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sells689463@direct.UNC.nchie.net | Direct |
Other providers in Mayodan, NC
- Cynthia P. Butler
- Nancy Wise Cameron
- Community Christian
- Michael Simpson Diamond
- Everside Health Milliken Two Rivers
- Nurica Nicole Good
- Sachin K Gupta
- Kalei Handy
- Susan Blair Hill
All providers in Mayodan, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.